Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13134 | Date 18/06/2025 |
| Token No | SM/25-26/885 18/06/2025 | Serial | 020 |
| Patient Name | Mrs. NEHA RAJBHAR | Contact No | 7449771449 |
| Address | PACHU BAJAR | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||