Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13032 | Date 24/05/2025 |
| Token No | SM/25-26/564 24/05/2025 | Serial | 024 |
| Patient Name | Miss SAKSHI KUMARI DUBEY | Contact No | 9931700710 |
| Address | 7 INDIA JUTE MILL | Age | 2 YRS 6 mnths Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||