Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08682 | Date 31/03/2023 |
| Token No | SM/22-23/8660 31/03/2023 | Serial | 010 |
| Patient Name | Mrs. RENU DEBI | Contact No | 7980543850 |
| Address | 62/A RAILAND ROAD | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||