Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08544 | Date 14/03/2023 |
| Token No | SM/22-23/8278 14/03/2023 | Serial | 014 |
| Patient Name | Mrs. JHILIK PASWAN | Contact No | 9836191975 |
| Address | 12 KHASBAGAN LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||