Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07867 | Date 06/09/2024 |
| Token No | SM/24-25/27844 06/09/2024 | Serial | 052 |
| Patient Name | Miss SONI KUMAR | Contact No | 7605826182 |
| Address | 1/P/82 PRAVASHNAGAR RISHRA M 712249 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||