Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09609 | Date 23/07/2025 |
| Token No | SM/25-26/5375 26/07/2025 | Serial | 007 |
| Patient Name | Mrs. SHAILA DEVI | Contact No | 9331327902 |
| Address | 2 A.B ROAD RISHRA 712248 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||