Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09320 | Date 19/05/2025 |
| Token No | SM/25-26/8561 25/09/2025 | Serial | 066 |
| Patient Name | Miss ANNU KUMARI | Contact No | 8444996840 |
| Address | 835/35 S K NAGAR RISHRA M 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||