Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10321 | Date 07/09/2023 |
| Token No | SM/22-23/12315 07/09/2023 | Serial | 008 |
| Patient Name | Mrs. KAILASHU DEVI | Contact No | NOT GIVEN |
| Address | PACHU BAZAR, 62 RAYLAND ROAD | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||