Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13064 | Date 02/06/2025 |
| Token No | SM/25-26/634 03/06/2025 | Serial | 005 |
| Patient Name | Mrs. NITU KUMARI | Contact No | 8981295109 |
| Address | 55 ROYLAND ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||