Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08932 | Date 22/03/2025 |
| Token No | SM/25-26/7463 04/09/2025 | Serial | 035 |
| Patient Name | Miss ANNU TIWARI | Contact No | 7439543563 |
| Address | 42 NO S S ROAD RISHRA M 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||