Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09447 | Date 21/06/2023 |
| Token No | SM/22-23/10389 21/06/2023 | Serial | 035 |
| Patient Name | Mrs. NITU PASWAN | Contact No | 8420205932 |
| Address | 23 BARAL BAGAN | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||