Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13902 | Date 29/12/2025 |
| Token No | SM/25-26/3118 29/12/2025 | Serial | 024 |
| Patient Name | Mrs. AMRITA KUMARI | Contact No | 9163063244 |
| Address | 10 RUDRA RAM PANDIT LANE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||