Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11284 | Date 14/03/2024 |
| Token No | SM/22-23/15274 14/03/2024 | Serial | 024 |
| Patient Name | Baby PIHU PASWAN | Contact No | 7003876072 |
| Address | 17 BARAL BAGAN | Age | Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||