Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 13752 | Date 20/11/2025 |
| Token No | SM/25-26/2689 20/11/2025 | Serial | 003 |
| Patient Name | Miss NANDINI KUMARI | Contact No | 8282909589 |
| Address | JANNAGAR ROAD | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||