Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12930 | Date 28/04/2025 |
| Token No | SM/25-26/274 28/04/2025 | Serial | 002 |
| Patient Name | Mrs. RAJNANDINI SINGH | Contact No | 6289644717 |
| Address | DEY STREET | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||