Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12548 | Date 20/01/2025 |
| Token No | SM/24-25/20613 20/01/2025 | Serial | 014 |
| Patient Name | Mrs. SANCHITA BHAR | Contact No | NOT GIVEN |
| Address | 41 R B SARANI | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||