Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09169 | Date 24/05/2023 |
| Token No | SM/24-25/20933 12/02/2025 | Serial | 018 |
| Patient Name | Mrs. DOLY DUBEY | Contact No | 7977494062 |
| Address | INDIA JUTE MILL | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||