Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05717 | Date 23/11/2023 |
| Token No | SM/22-23/15762 23/11/2023 | Serial | 044 |
| Patient Name | Mrs. GOURI DEVI SINGH | Contact No | 9330181676 |
| Address | 93 S K NAGAR PRAVASHNAGAR RISHRA M 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||