Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06800 | Date 23/08/2022 |
| Token No | SM/22-23/4648 23/08/2022 | Serial | 001 |
| Patient Name | Mrs. MANJU DEBI SINGH | Contact No | 9031148946 |
| Address | 59 RAILAND ROAD | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||