Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12809 | Date 19/03/2025 |
| Token No | SM/25-26/1044 01/07/2025 | Serial | 001 |
| Patient Name | Mrs. MUNMUN KUMARI | Contact No | 9831790377 |
| Address | 19 NO DOSTI LANE | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||