Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06234 | Date 10/02/2024 |
| Token No | SM/24-25/25190 19/07/2024 | Serial | 045 |
| Patient Name | Mrs. UMARAWATI DEVI | Contact No | 9748494404 |
| Address | A78 -207 SUBHASNAGAR HOUSEING COMPLEX JN ROAD 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||