Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09329 | Date 13/06/2023 |
| Token No | SM/22-23/10162 13/06/2023 | Serial | 024 |
| Patient Name | Mrs. MADHURI DEBI SHA | Contact No | 6290428945 |
| Address | NAYA BAGAN | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||