Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13055 | Date 26/05/2025 |
| Token No | SM/25-26/599 26/05/2025 | Serial | 007 |
| Patient Name | Mrs. MANISHA KUMARI | Contact No | 9330524966 |
| Address | 12 RAM SITA LANE | Age | 23 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||