Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06149 | Date 02/02/2024 |
| Token No | SM/24-25/33563 02/01/2025 | Serial | 026 |
| Patient Name | Miss DIVYA SINGH | Contact No | 8777087723 |
| Address | 1138 S K NAGAR RISHRA M 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||