Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13473 | Date 04/09/2025 |
| Token No | SM/25-26/1900 04/09/2025 | Serial | 010 |
| Patient Name | Mrs. ARPITA RANA | Contact No | 7980025296 |
| Address | 5 RUDRARAM PANDIT LANE | Age | 38 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||