Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12866 | Date 07/04/2025 |
| Token No | SM/25-26/64 07/04/2025 | Serial | 008 |
| Patient Name | Mrs. RENU DEY | Contact No | 9830406493 |
| Address | 175 N N COLONY | Age | 46 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||