Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02412 | Date 08/08/2022 |
| Token No | SM/25-26/9312 17/10/2025 | Serial | 014 |
| Patient Name | Miss ISHIKA SINGH | Contact No | 9432661135 |
| Address | 38 S K NAGAR RISHRA M 712249 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||