Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 13241 | Date 17/07/2025 |
| Token No | SM/25-26/1255 17/07/2025 | Serial | 001 |
| Patient Name | Mrs. RAGINI SHAW | Contact No | 8100720240 |
| Address | 4 KUMAR PATTY LANE | Age | 29 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||