Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13748 | Date 18/11/2025 |
| Token No | SM/25-26/2671 18/11/2025 | Serial | 010 |
| Patient Name | Miss SONAM KUMARI | Contact No | 8910841044 |
| Address | 84 DEY STREET | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||