Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12699 | Date 24/02/2025 |
| Token No | SM/25-26/278 28/04/2025 | Serial | 006 |
| Patient Name | Mrs. BANI BAG | Contact No | 9874351715 |
| Address | 17/D B L C MILLS ROAD | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||