Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09874 | Date 03/09/2025 |
| Token No | SM/25-26/8754 08/10/2025 | Serial | 006 |
| Patient Name | Mrs. RAMAWATI DEVI | Contact No | 7033969304 |
| Address | PRAVASNAGAR POWER HOUSE 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||