Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13845 | Date 09/12/2025 |
| Token No | SM/25-26/2930 09/12/2025 | Serial | 003 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 9576831706 |
| Address | JAILKHANA ROAD | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||