Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11652 | Date 13/06/2024 |
| Token No | SM/24-25/16886 13/06/2024 | Serial | 035 |
| Patient Name | Miss BAISHNABI PASWAN.,. | Contact No | 7044165346 |
| Address | 16/T SITAL SARLAR LANE | Age | 15 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||