Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11471 | Date 02/05/2024 |
| Token No | SM/24-25/16039 02/05/2024 | Serial | 022 |
| Patient Name | Mrs. KUMKUM NATH | Contact No | 8240001865 |
| Address | 37 G.T. ROAD | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||