Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09750 | Date 24/07/2023 |
| Token No | SM/22-23/11147 24/07/2023 | Serial | 019 |
| Patient Name | Mrs. REKHA SINGH | Contact No | 6291234048 |
| Address | 25A NOTUN BAGAN | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||