Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12860 | Date 05/04/2025 |
| Token No | SM/25-26/54 05/04/2025 | Serial | 007 |
| Patient Name | Mrs. RIMPA BANGAL | Contact No | 7890703065 |
| Address | 38/H BOSE PARA LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||