Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08892 | Date 12/03/2025 |
| Token No | SM/24-25/36882 12/03/2025 | Serial | 070 |
| Patient Name | Mrs. SUMITA SHARMA | Contact No | 8420647707 |
| Address | 54 S K NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||