Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12560 | Date 22/01/2025 |
| Token No | SM/24-25/20647 22/01/2025 | Serial | 015 |
| Patient Name | Mrs. SHILPI KUMARI | Contact No | 7004661309 |
| Address | INDIA JUTE MILL RAM SITA LANE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||