Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03659 | Date 28/01/2023 |
| Token No | SM/25-26/6146 11/08/2025 | Serial | 011 |
| Patient Name | Mrs. TARA SINGH | Contact No | 8240295571 |
| Address | 97/I/1 B BLOCK RISHRA | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||