Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04588 | Date 24/07/2023 |
| Token No | SM/22-23/12907 09/09/2023 | Serial | 046 |
| Patient Name | Mrs. PAMMI KUMARI | Contact No | 7044765421 |
| Address | SIDHAVALIYA SIDHWALIA GOPALGANJ BIHAR 841423 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||