Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08245 | Date 21/11/2024 |
| Token No | SM/25-26/12232 20/12/2025 | Serial | 072 |
| Patient Name | Baby SAAYESHA DUBEY | Contact No | 6290458382 |
| Address | 42 NO S S ROAD RISHRA M PRAVASHNAGAR 712249 | Age | 3 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||