Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11299 | Date 18/03/2024 |
| Token No | SM/24-25/16789 10/06/2024 | Serial | 038 |
| Patient Name | Mrs. JUHI KUMARI | Contact No | 8252607972 |
| Address | 21 BARAL BAGAN | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||