Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10346 | Date 30/12/2025 |
| Token No | SM/25-26/12536 30/12/2025 | Serial | 039 |
| Patient Name | Mrs. ANJU PRASAD | Contact No | 9331503377 |
| Address | 368 SHRIKRISHNA NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||