Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11645 | Date 12/06/2024 |
| Token No | SM/24-25/20405 06/01/2025 | Serial | 005 |
| Patient Name | Mrs. SUMANPREET KAUR | Contact No | 8240700662 |
| Address | 119 THAKURBATI STREET | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||