Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09390 | Date 16/06/2023 |
| Token No | SM/22-23/10294 16/06/2023 | Serial | 030 |
| Patient Name | Mrs. REKHA SINGH | Contact No | 9748445789 |
| Address | 25 NOTUN BAGAN | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||