Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 13809 | Date 01/12/2025 |
| Token No | SM/25-26/2839 01/12/2025 | Serial | 023 |
| Patient Name | Mrs. PARBATI SINGH | Contact No | 8276862248 |
| Address | 5/1/4DC LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||