Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06066 | Date 13/06/2022 |
| Token No | SM/22-23/8726 05/04/2023 | Serial | 013 |
| Patient Name | Mrs. PINKI PASWAN | Contact No | 9330512524 |
| Address | PACHU BAZAR | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||