Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13156 | Date 25/06/2025 |
| Token No | SM/25-26/969 25/06/2025 | Serial | 023 |
| Patient Name | Mrs. RENU GUPTA | Contact No | 6289086698 |
| Address | 18 BARAL BAGAN | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||