Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 12540 | Date 16/01/2025 |
| Token No | SM/24-25/21050 21/02/2025 | Serial | 010 |
| Patient Name | Mrs. JASMINA KHAN | Contact No | 9123045687 |
| Address | 1/H RAILAND ROAD | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||