Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08592 | Date 20/03/2023 |
| Token No | SM/22-23/8408 20/03/2023 | Serial | 023 |
| Patient Name | Mrs. KHUSBU SINGH | Contact No | 7003419280 |
| Address | 162 G.T. ROAD, MANIKTALA DEY BAGAN | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||