Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03775 | Date 16/02/2023 |
| Token No | SM/22-23/6861 16/02/2023 | Serial | 037 |
| Patient Name | Mrs. SARADA GIRI | Contact No | 9065824868 |
| Address | 190 NEW MAHESH PRABASHNAGAR 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||