Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13184 | Date 30/06/2025 |
| Token No | SM/25-26/1030 30/06/2025 | Serial | 015 |
| Patient Name | Mrs. MANISHA SINGH | Contact No | 7033405632 |
| Address | 28 CHOWDHURY PARA LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||