Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12928 | Date 25/04/2025 |
| Token No | SM/25-26/256 25/04/2025 | Serial | 002 |
| Patient Name | Mrs. KHUSHI KUMARI | Contact No | 9163337397 |
| Address | 12/547 INDIA JUTE MILL | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||