Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09076 | Date 17/05/2023 |
| Token No | SM/24-25/20760 29/01/2025 | Serial | 019 |
| Patient Name | Mrs. PINKI SHA | Contact No | 9831430933 |
| Address | 3 G T ROAD, RISHRA | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||