Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07062 | Date 16/09/2022 |
| Token No | SM/22-23/5165 16/09/2022 | Serial | 008 |
| Patient Name | Miss GAYETRI KUMARI PASWAN | Contact No | 9330512524 |
| Address | PACHU BABAU BAZAR | Age | 16 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||