Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11576 | Date 29/05/2024 |
| Token No | SM/24-25/16560 29/05/2024 | Serial | 027 |
| Patient Name | Mrs. PUNAM KOIRI | Contact No | 8646862171 |
| Address | DHULIPARA | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||