Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11417 | Date 18/04/2024 |
| Token No | SM/24-25/15813 18/04/2024 | Serial | 025 |
| Patient Name | Mrs. MOHUA DEY | Contact No | 8585010762 |
| Address | 57/A G.T. ROAD | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||