Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13368 | Date 11/08/2025 |
| Token No | SM/25-26/1634 11/08/2025 | Serial | 027 |
| Patient Name | Mrs. PRIYANKA DEVI | Contact No | 8981131042 |
| Address | JHAUTALA | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||