Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12102 | Date 14/09/2024 |
| Token No | SM/24-25/18792 14/09/2024 | Serial | 005 |
| Patient Name | Mrs. PINKI SINGH | Contact No | 7980804623 |
| Address | BARAL BAGAN, PACHU BAZAR | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||