Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12934 | Date 28/04/2025 |
| Token No | SM/25-26/282 28/04/2025 | Serial | 010 |
| Patient Name | Miss RIMA METE | Contact No | 6289884459 |
| Address | 11/A A B GARDEN LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||