Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12701 | Date 24/02/2025 |
| Token No | SM/24-25/21345 17/03/2025 | Serial | 018 |
| Patient Name | Mrs. MANISHA KUMARI | Contact No | 9875322215 |
| Address | 19 NO AKRABATI LANE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||