Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10480 | Date 22/09/2023 |
| Token No | SM/22-23/12616 22/09/2023 | Serial | 015 |
| Patient Name | Mrs. SUDAMA DEBI | Contact No | 6290786732 |
| Address | 55 RAYLAND ROAD | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||