Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12648 | Date 12/02/2025 |
| Token No | SM/24-25/20927 12/02/2025 | Serial | 012 |
| Patient Name | Mrs. SONI MAHATO. | Contact No | 9836985722 |
| Address | 115 R.B. SARANI | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||