Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12586 | Date 29/01/2025 |
| Token No | SM/24-25/20762 29/01/2025 | Serial | 021 |
| Patient Name | Mrs. PUJA SINGH | Contact No | 9304028718 |
| Address | PACHU BAZAR | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||