Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13247 | Date 17/07/2025 |
| Token No | SM/25-26/1265 17/07/2025 | Serial | 011 |
| Patient Name | Mrs. REKHA SINGH | Contact No | 9051971979 |
| Address | 55 ROY LAND ROAD | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||