Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13009 | Date 21/05/2025 |
| Token No | SM/25-26/522 21/05/2025 | Serial | 007 |
| Patient Name | Mrs. AMISHA KUMARI | Contact No | 7980608865 |
| Address | 86/C/6 DEY STREET | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||