Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12521 | Date 11/01/2025 |
| Token No | SM/24-25/20452 11/01/2025 | Serial | 005 |
| Patient Name | Mrs. JHUNU PADIALI. | Contact No | 8479051690 |
| Address | 19 DOSTI LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||