Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04632 | Date 19/07/2021 |
| Token No | SM/21-22/668 19/07/2021 | Serial | 011 |
| Patient Name | Mrs. NITU PASWAN | Contact No | 8420305932 |
| Address | PACHUBAZAR | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||