Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12460 | Date 16/12/2024 |
| Token No | SM/24-25/20211 16/12/2024 | Serial | 006 |
| Patient Name | Mrs. GURIYA KUMARI SINGH | Contact No | 9123041247 |
| Address | 10 RAILWAY QUATER | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||