Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10857 | Date 04/12/2023 |
| Token No | SM/22-23/14928 23/02/2024 | Serial | 011 |
| Patient Name | Mrs. RITA DAS | Contact No | 9734578029 |
| Address | 2 DEY BAGAN LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||