Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09228 | Date 07/05/2025 |
| Token No | SM/25-26/9703 30/10/2025 | Serial | 060 |
| Patient Name | Mrs. SAPNA KAHAR | Contact No | 7980899519 |
| Address | H/38 ANJUMAN ROAD RISHRA 712248 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||