Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 00267 | Date 27/09/2019 |
| Token No | SM/24-25/21507 03/05/2024 | Serial | 102 |
| Patient Name | Miss PUJA SINGH | Contact No | 8697136784 |
| Address | 2 NO RAIL GATE BANGUR PARK RISHRA 712248 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||