Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11819 | Date 20/07/2024 |
| Token No | SM/24-25/21440 22/03/2025 | Serial | 006 |
| Patient Name | Mrs. KIRAN SHAW SINGH | Contact No | 6290687099 |
| Address | 10 RAIL QUARTER | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||