Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09315 | Date 19/05/2025 |
| Token No | SM/25-26/8998 13/10/2025 | Serial | 001 |
| Patient Name | Mrs. MIRA LOUHA | Contact No | 9883131086 |
| Address | 43/32/B/5 GURU GARDEN LANE PRAVASNAGAR 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||