Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10032 | Date 09/10/2025 |
| Token No | SM/25-26/9453 22/10/2025 | Serial | 044 |
| Patient Name | Mrs. RAJ KUMARI DEVI | Contact No | 8910159960 |
| Address | 120 PRAVASNAGAR HINDI SCHOOL 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 119/66 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||