Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12284 | Date 30/10/2024 |
| Token No | SM/25-26/168 21/04/2025 | Serial | 013 |
| Patient Name | Mrs. SUBHRA CHAUHAN | Contact No | 9830252428 |
| Address | 53 PANCHANAN TALA | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||