Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13488 | Date 08/09/2025 |
| Token No | SM/25-26/1950 08/09/2025 | Serial | 022 |
| Patient Name | Mrs. SHILPA DEWANGAN | Contact No | 7686830200 |
| Address | 19 BLC MILLS ROAD | Age | 34 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||