Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09544 | Date 05/07/2023 |
| Token No | SM/22-23/10636 05/07/2023 | Serial | 011 |
| Patient Name | Miss GAYTRI KUMARI PASWAN | Contact No | 7439200584 |
| Address | 17 BARAL BAGAN LANE | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||