Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12845 | Date 02/04/2025 |
| Token No | SM/25-26/24 02/04/2025 | Serial | 023 |
| Patient Name | Mrs. GUDDI DEVI | Contact No | 6383414108 |
| Address | 7 DEY GHAT LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||