Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12511 | Date 08/01/2025 |
| Token No | SM/24-25/20418 08/01/2025 | Serial | 010 |
| Patient Name | Miss RAJNANDINI PASWAN | Contact No | 7439462880 |
| Address | TINBAZAR | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||