Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13821 | Date 03/12/2025 |
| Token No | SM/25-26/2862 03/12/2025 | Serial | 011 |
| Patient Name | Mrs. ASHA DEVI | Contact No | 9792975982 |
| Address | RAM SITA LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||