Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12293 | Date 01/11/2024 |
| Token No | SM/25-26/1573 07/08/2025 | Serial | 017 |
| Patient Name | Mrs. NEHA PARVEEN | Contact No | 9903884670 |
| Address | 37 NO RISHI BANKIM sarani | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||