Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12692 | Date 24/02/2025 |
| Token No | SM/24-25/21083 24/02/2025 | Serial | 003 |
| Patient Name | Mrs. USHA PRASAD | Contact No | 9836170635 |
| Address | 48/66 BHAGIRATHI LANE | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||