Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11264 | Date 11/03/2024 |
| Token No | SM/22-23/15176 11/03/2024 | Serial | 027 |
| Patient Name | Mrs. FUL DEBI | Contact No | NOT GIVEN |
| Address | PACHU BAZAR, RAILAND ROAD | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||