Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06054 | Date 10/06/2022 |
| Token No | SM/25-26/784 12/06/2025 | Serial | 009 |
| Patient Name | Mrs. NILAM KUMARI PRASAD... | Contact No | 6290638460 |
| Address | 113 R B SARANI | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||