Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07219 | Date 23/12/2019 |
| Token No | SM/25-26/8265 25/11/2025 | Serial | 007 Last Visit: 25/11/2025 |
| Patient Name | Miss SHREYA THAKUR | Contact No | 7003856876 |
| Address | 14 K.C SEN ROAD, RISHRA | Age | 13 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||