Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13006 | Date 19/05/2025 |
| Token No | SM/25-26/1822 01/09/2025 | Serial | 022 |
| Patient Name | Mrs. KALPANA BARADO | Contact No | 7846971562 |
| Address | 6/A DOSTY LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||