Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09037 | Date 12/05/2023 |
| Token No | SM/22-23/9541 12/05/2023 | Serial | 029 |
| Patient Name | Mrs. MONGALA DAS | Contact No | NOT GIVEN |
| Address | 573 G T ROAD, MANIKTALA | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||