Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09228 | Date 07/05/2025 |
| Token No | SM/25-26/5073 21/07/2025 | Serial | 056 |
| Patient Name | Mrs. SAPNA KAHAR | Contact No | 7980899519 |
| Address | H/38 ANJUMAN ROAD RISHRA 712248 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||