Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09930 | Date 10/08/2023 |
| Token No | SM/24-25/16981 19/06/2024 | Serial | 035 |
| Patient Name | Mrs. RUCHI KUMARI | Contact No | 7439041141 |
| Address | 3 G T ROAD, PACHU BAZAR | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||