Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08804 | Date 28/02/2025 |
| Token No | SM/24-25/36204 28/02/2025 | Serial | 015 |
| Patient Name | Mrs. SUMITRA MISHRA | Contact No | 9088345708 |
| Address | 42 NO S S ROAD RISHRA M PRAVASHNAGAR 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||