Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13553 | Date 20/09/2025 |
| Token No | SM/25-26/2140 20/09/2025 | Serial | 014 |
| Patient Name | Mrs. RIMPA KARAN | Contact No | 9123941175 |
| Address | NAGAR MORE | Age | 28 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||