Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13126 | Date 16/06/2025 |
| Token No | SM/25-26/844 16/06/2025 | Serial | 009 |
| Patient Name | Mrs. SAKILA BANU | Contact No | 9874606552 |
| Address | 34/1 GANDHI SARAK RISHRA | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||