Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08497 | Date 02/01/2025 |
| Token No | SM/24-25/33591 02/01/2025 | Serial | 054 |
| Patient Name | Miss SANSKRITI MISHRA | Contact No | 9675394903 |
| Address | 3NO S S ROAD RISHRA M PRAVASHNAGAR 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||