Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12771 | Date 12/03/2025 |
| Token No | SM/25-26/941 23/06/2025 | Serial | 013 |
| Patient Name | Mrs. RUBI KUMARI | Contact No | 9330783504 |
| Address | 55 RAILAND ROAD | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||