Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13738 | Date 17/11/2025 |
| Token No | SM/25-26/2653 17/11/2025 | Serial | 017 |
| Patient Name | Mrs. SANVI JHA | Contact No | 7003856876 |
| Address | 64 N.N. ROY STREET | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||