Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12968 | Date 07/05/2025 |
| Token No | SM/25-26/388 07/05/2025 | Serial | 010 |
| Patient Name | Mrs. RAJDHANI PASWAN | Contact No | 9330740780 |
| Address | NOTUN BAGAN PACHUBAZAR | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||