Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13413 | Date 26/08/2025 |
| Token No | SM/25-26/1958 09/09/2025 | Serial | 001 |
| Patient Name | Mrs. PRIYA PRASAD | Contact No | 7596957046 |
| Address | 122 R B SARANI | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||