Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06699 | Date 10/08/2022 |
| Token No | SM/22-23/4449 10/08/2022 | Serial | 034 |
| Patient Name | Mrs. FUL KUMARI PASWAN | Contact No | 8240350889 |
| Address | 79 G T ROAD | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||