Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12671 | Date 15/02/2025 |
| Token No | SM/24-25/20979 15/02/2025 | Serial | 012 |
| Patient Name | Mrs. KUSUM KUMARI SINGH | Contact No | 8969606329 |
| Address | PACHU BAZAR | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||