Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07991 | Date 05/10/2024 |
| Token No | SM/24-25/29181 05/10/2024 | Serial | 065 |
| Patient Name | Mr. SUBHAM SINGH | Contact No | 8017555686 |
| Address | 8 SIMLA SATGHARA ROAD PRABASHNAGAR RISHRA M 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||