Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04156 | Date 10/05/2023 |
| Token No | SM/22-23/9243 01/06/2023 | Serial | 027 |
| Patient Name | Miss SOHINA PASWAN | Contact No | 7450956328 |
| Address | 694 S K NAGAR RISHRA PRABASHNAGAR 712249 | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||