Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09863 | Date 01/09/2025 |
| Token No | SM/25-26/8847 09/10/2025 | Serial | 031 |
| Patient Name | Mrs. SAROJA DEVI | Contact No | 8210163507 |
| Address | 900 SK NAGAR RISHRA M 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||