Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12311 | Date 11/11/2024 |
| Token No | SM/24-25/19636 11/11/2024 | Serial | 002 |
| Patient Name | Mrs. PUJA PASWAN | Contact No | 7003467273 |
| Address | 16/K/1 BOSE PARA SITAL SARKAR LANE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||