Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10133 | Date 25/08/2023 |
| Token No | SM/22-23/11969 25/08/2023 | Serial | 011 |
| Patient Name | Mrs. RUPA SHAW | Contact No | 8100609 |
| Address | PACHU BAZAR | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||