Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11955 | Date 13/08/2024 |
| Token No | SM/25-26/1548 06/08/2025 | Serial | 009 |
| Patient Name | Miss PRIYA RAM | Contact No | 6289586236 |
| Address | 7 dey ghat lane | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||