Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12686 | Date 22/02/2025 |
| Token No | SM/24-25/21065 22/02/2025 | Serial | 002 |
| Patient Name | Mrs. KAJAL PASWAN | Contact No | 8100064003 |
| Address | 16/T SITAL SARKAR LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||