Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06845 | Date 24/05/2024 |
| Token No | SM/25-26/8938 11/10/2025 | Serial | 004 |
| Patient Name | Mrs. AYUSHI SINGH | Contact No | 7980547940 |
| Address | B-2/508 SUBHASNAGAR HOUSING COMOPLEX PROVASNAGARV712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/65 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||