Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07910 | Date 08/12/2022 |
| Token No | SM/22-23/6875 08/12/2022 | Serial | 004 |
| Patient Name | Mrs. KARINA DEVI | Contact No | 8910667856 |
| Address | PACHU BAZAR, RAILAND ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||