Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07891 | Date 06/12/2022 |
| Token No | SM/22-23/6829 06/12/2022 | Serial | 006 |
| Patient Name | Mrs. GURIYA KUMARI | Contact No | 8478982276 |
| Address | 21 BARAL BAGAN | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||