Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13559 | Date 22/09/2025 |
| Token No | SM/25-26/2150 22/09/2025 | Serial | 005 |
| Patient Name | Mrs. UTLA SWATI | Contact No | 8249630079 |
| Address | 10 BLC MILL ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||