Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12566 | Date 22/01/2025 |
| Token No | SM/24-25/21094 24/02/2025 | Serial | 014 |
| Patient Name | Mrs. KUSUM KUMARI | Contact No | 9681271030 |
| Address | 12 NO INDIA JUTE MILL(1ST CHECKUP) | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||