Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12595 | Date 30/01/2025 |
| Token No | SM/24-25/20787 30/01/2025 | Serial | 010 |
| Patient Name | Mrs. UMRAWATI DEBI.. | Contact No | 9006014033 |
| Address | 7 RAM SITA LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||