Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13007 | Date 19/05/2025 |
| Token No | SM/25-26/1515 02/08/2025 | Serial | 002 |
| Patient Name | Mrs. PRAMILA DEVI | Contact No | 6289545367 |
| Address | 122 NO RISHI BANKIM SARANI | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||