Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12635 | Date 07/02/2025 |
| Token No | SM/24-25/20878 07/02/2025 | Serial | 014 |
| Patient Name | Mrs. MUNMUN SAHANI | Contact No | 8479933854 |
| Address | 43 PACHUGOPAL BHADURI SARANI | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||