Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07992 | Date 05/10/2024 |
| Token No | SM/24-25/29184 05/10/2024 | Serial | 068 |
| Patient Name | Baby SRISHTI SINGH | Contact No | 9681052662 |
| Address | 319 S K NAGAR RISHRA M 712249 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||