Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12502 | Date 31/12/2024 |
| Token No | SM/24-25/20396 31/12/2024 | Serial | 001 |
| Patient Name | Mrs. RUBI BHAGAT NATH | Contact No | 8927016671 |
| Address | DOSTI LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||