Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10640 | Date 04/10/2023 |
| Token No | SM/22-23/12934 04/10/2023 | Serial | 013 |
| Patient Name | Mrs. RUBY PASWAN | Contact No | 9123770557 |
| Address | 55 RAYLAND ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||