Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06892 | Date 30/05/2024 |
| Token No | SM/24-25/22980 10/06/2024 | Serial | 052 |
| Patient Name | Mrs. RADHA KUMARI MISHRA | Contact No | 9875428578 |
| Address | 2 NO A.B ROAD RISHRA 712248 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||