Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03767 | Date 16/02/2023 |
| Token No | SM/24-25/27702 04/09/2024 | Serial | 085 |
| Patient Name | Mrs. SIMA SINGH | Contact No | 6290186340 |
| Address | 704 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||