Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10030 | Date 08/10/2025 |
| Token No | SM/25-26/8835 09/10/2025 | Serial | 019 |
| Patient Name | Mrs. AMRITI KUMARI | Contact No | 9681298515 |
| Address | B/403 B-8 SUBHASNAGAR HOUSING COMPLEX 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||