Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13674 | Date 30/10/2025 |
| Token No | SM/25-26/2447 30/10/2025 | Serial | 016 |
| Patient Name | Miss RINKU KUMARI SHA | Contact No | 9330731134 |
| Address | 5 DOSTI LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||