Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12117 | Date 20/09/2024 |
| Token No | SM/24-25/18890 20/09/2024 | Serial | 010 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 9038548971 |
| Address | 55 RAYLAND ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||