Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12805 | Date 19/03/2025 |
| Token No | SM/24-25/21380 19/03/2025 | Serial | 018 |
| Patient Name | Mrs. JULI KUMARI | Contact No | 6289465475 |
| Address | 3 NO WILLAM CAREY ROAD | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||