Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03304 | Date 01/12/2022 |
| Token No | SM/25-26/3161 06/06/2025 | Serial | 034 |
| Patient Name | Miss PRIYA KUMARI SINGH | Contact No | 7439090238 |
| Address | 8 SIMLA SATGHARA ROAD RISHRA M 712249 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||