Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09724 | Date 21/07/2023 |
| Token No | SM/22-23/11103 21/07/2023 | Serial | 006 |
| Patient Name | Mrs. BABITA RAJBHAR | Contact No | 7450862770 |
| Address | PACHU BAZAR | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||