Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13687 | Date 03/11/2025 |
| Token No | SM/25-26/2470 03/11/2025 | Serial | 006 |
| Patient Name | Mrs. RAJWANTI DEVI | Contact No | 9123316020 |
| Address | 113 R.B. SARANI | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||