Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03254 | Date 25/11/2022 |
| Token No | SM/22-23/4739 25/11/2022 | Serial | 026 |
| Patient Name | Mrs. NILAM DEVI | Contact No | 8282828314 |
| Address | 8 NO SIDH NATH SINGH BYE LANE RISHRA M 712248 | Age | 34 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||