Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13586 | Date 10/10/2025 |
| Token No | SM/25-26/2233 10/10/2025 | Serial | 001 |
| Patient Name | Mrs. MIRA DEVI | Contact No | 9097661029 |
| Address | BATTALA | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||