Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13688 | Date 03/11/2025 |
| Token No | SM/25-26/2471 03/11/2025 | Serial | 007 |
| Patient Name | Mrs. ANJU DEVI | Contact No | 8777584619 |
| Address | 11 DOSTI LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||