Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07339 | Date 19/10/2022 |
| Token No | SM/22-23/5680 19/10/2022 | Serial | 017 |
| Patient Name | Mr. PALTU PASWAN | Contact No | NOT GIVEN |
| Address | PANCHU BABUR BAZAR LINE | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||