Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13567 | Date 23/09/2025 |
| Token No | SM/25-26/2171 23/09/2025 | Serial | 008 |
| Patient Name | Mrs. RINKU THAKUR | Contact No | 9748546439 |
| Address | 79/A DEY STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||