Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09839 | Date 02/08/2023 |
| Token No | SM/22-23/12750 27/09/2023 | Serial | 020 |
| Patient Name | Mrs. KUMKUM SINGH | Contact No | 9748445789 |
| Address | 25 NOTUN BAGAN | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||