Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11810 | Date 18/07/2024 |
| Token No | SM/24-25/17588 18/07/2024 | Serial | 030 |
| Patient Name | Mrs. RAJNI SINGH,., | Contact No | 8240576090 |
| Address | PACHU BAZAR | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||