Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11481 | Date 06/05/2024 |
| Token No | SM/24-25/16073 06/05/2024 | Serial | 014 |
| Patient Name | Mrs. AMRITA DEBI | Contact No | 8809884771 |
| Address | ROY LAND ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||