Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13806 | Date 01/12/2025 |
| Token No | SM/25-26/2832 01/12/2025 | Serial | 016 |
| Patient Name | Mrs. RINKU JAISWARA | Contact No | 8582904901 |
| Address | 7 DEY GHAT LANE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||