Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10285 | Date 04/09/2023 |
| Token No | SM/22-23/15279 14/03/2024 | Serial | 029 |
| Patient Name | Mrs. SUDHA SINGH | Contact No | 6291611842 |
| Address | 24/25 BARAL BAGAN | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||