Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13102 | Date 12/06/2025 |
| Token No | SM/25-26/781 12/06/2025 | Serial | 006 |
| Patient Name | Mrs. NIRMALA KUMARI | Contact No | 8294455202 |
| Address | 112 R B SARANI | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||