Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11942 | Date 12/08/2024 |
| Token No | SM/24-25/18117 12/08/2024 | Serial | 006 |
| Patient Name | Mrs. MINA PASWAN | Contact No | 9072336585 |
| Address | 20 BOSEPARA LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||