Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 01953 | Date 22/04/2019 |
| Token No | SM/24-25/20446 10/01/2025 | Serial | 022 |
| Patient Name | Miss BABY PASWAN | Contact No | 9017315738 |
| Address | 102 R B SARANI | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||