Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12549 | Date 20/01/2025 |
| Token No | SM/24-25/21062 21/02/2025 | Serial | 022 |
| Patient Name | Mrs. SAPNA KUMARI | Contact No | 9588842258 |
| Address | RAM SITA LANE(1ST CHECKUP) | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||