Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 13068 | Date 04/06/2025 |
| Token No | SM/25-26/641 04/06/2025 | Serial | 006 |
| Patient Name | Miss KABYA PASWAN | Contact No | 9088711499 |
| Address | KATAPOL NEW MAHESH | Age | 2 yrs Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||