Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06356 | Date 16/07/2022 |
| Token No | SM/24-25/19023 26/09/2024 | Serial | 005 |
| Patient Name | Mrs. FUL KUMARI PASWAN | Contact No | NOT GIVEN |
| Address | 79 G.T.ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||