Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09665 | Date 30/07/2025 |
| Token No | SM/25-26/5543 30/07/2025 | Serial | 009 |
| Patient Name | Mrs. CHANDINI KUMARI | Contact No | 7061377671 |
| Address | 539 S K NAGAR NAYA BASTI RISHRA M 712248 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||