Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12503 | Date 02/01/2025 |
| Token No | SM/24-25/20399 02/01/2025 | Serial | 002 |
| Patient Name | Mrs. RAJNI GUPTA | Contact No | 8910006382 |
| Address | 17 RAMDHAN GHOSHLANE,W-14 | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||