Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11042 | Date 17/01/2024 |
| Token No | SM/24-25/21153 03/03/2025 | Serial | 014 |
| Patient Name | Mrs. BABITA SINGH | Contact No | 9123325301 |
| Address | 1 L M B STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||