Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13014 | Date 22/05/2025 |
| Token No | SM/25-26/989 26/06/2025 | Serial | 009 |
| Patient Name | Mrs. INDU KUMARI | Contact No | 7044135832 |
| Address | 6 RUDRARAM PANDIT LANE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||