Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11597 | Date 03/06/2024 |
| Token No | SM/24-25/16628 03/06/2024 | Serial | 015 |
| Patient Name | Mrs. KAJAL DEBI | Contact No | 7439330236 |
| Address | 61 RAILAND ROAD | Age | 18 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||