Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04957 | Date 25/08/2023 |
| Token No | SM/22-23/12350 25/08/2023 | Serial | 045 |
| Patient Name | Miss RINKI KUMARI RAJBHAR | Contact No | 8509649829 |
| Address | NALIKUL BARGACHIA 712407 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||