Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12742 | Date 06/03/2025 |
| Token No | SM/24-25/21223 06/03/2025 | Serial | 009 |
| Patient Name | Mrs. NIHARIKA SINHA | Contact No | 9851001682 |
| Address | 44/A BHAGIRATHI LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||