Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09387 | Date 16/06/2023 |
| Token No | SM/22-23/10289 16/06/2023 | Serial | 025 |
| Patient Name | Mrs. LAKKHI BHAR | Contact No | 6291672955 |
| Address | 27 G.T. ROAD, MADAM BAGAN | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||