Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12643 | Date 10/02/2025 |
| Token No | SM/24-25/20980 15/02/2025 | Serial | 013 |
| Patient Name | Mrs. SUNITA SINGH | Contact No | 7980708310 |
| Address | 2 RAJMOHAN GOSWAMI LANE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||