Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06630 | Date 04/08/2022 |
| Token No | SM/24-25/16775 10/06/2024 | Serial | 024 |
| Patient Name | Mrs. JAYA DEVI | Contact No | 6290941782 |
| Address | 55 RAILAND ROAD | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||