Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11494 | Date 09/05/2024 |
| Token No | SM/24-25/16116 09/05/2024 | Serial | 015 |
| Patient Name | Mrs. SUMITA DEBI | Contact No | 7003083045 |
| Address | ROY LAND ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||