Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13003 | Date 19/05/2025 |
| Token No | SM/25-26/495 19/05/2025 | Serial | 008 |
| Patient Name | Mrs. PINKI DEVI | Contact No | 6209865590 |
| Address | 122 R.B. SARANI | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||