Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13380 | Date 14/08/2025 |
| Token No | SM/25-26/1675 14/08/2025 | Serial | 007 |
| Patient Name | Mrs. HIMACHAL KUMARI | Contact No | 9433467680 |
| Address | 22 BLC MILLS ROAD | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||