Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06930 | Date 04/06/2024 |
| Token No | SM/24-25/22692 04/06/2024 | Serial | 005 |
| Patient Name | Miss TANNU TIWARI | Contact No | 7003298397 |
| Address | GHORAMARA PRAVASHNAGAR 712249 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||