Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09130 | Date 19/05/2023 |
| Token No | SM/22-23/9716 19/05/2023 | Serial | 038 |
| Patient Name | Mrs. JIRA DEBI | Contact No | 6290360249 |
| Address | RAILAND ROAD | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||