Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12733 | Date 05/03/2025 |
| Token No | SM/24-25/21199 05/03/2025 | Serial | 017 |
| Patient Name | Mrs. RUPA DEVI | Contact No | 7003150501 |
| Address | PNC ITKHOLA | Age | 45 yrs Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||