Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07830 | Date 04/09/2024 |
| Token No | SM/24-25/27701 04/09/2024 | Serial | 084 |
| Patient Name | Miss SOVA SINGH | Contact No | 6290186340 |
| Address | 704 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||