Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07950 | Date 26/09/2024 |
| Token No | SM/24-25/28751 26/09/2024 | Serial | 006 |
| Patient Name | Miss SONIA KUMARI PANDIT | Contact No | 8240289372 |
| Address | 681 PRAVASHNAGAR RISHRA M 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||