Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12819 | Date 20/03/2025 |
| Token No | SM/24-25/21422 20/03/2025 | Serial | 013 |
| Patient Name | Mrs. PUJA YADAV | Contact No | 8910658339 |
| Address | 77 C/2 J.N.LAHIRI ROAD | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||