Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12468 | Date 18/12/2024 |
| Token No | SM/24-25/20277 18/12/2024 | Serial | 029 |
| Patient Name | Miss SHREYA SINGH | Contact No | 9051571979 |
| Address | 55 ROYLAND ROAD | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||