Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11635 | Date 10/06/2024 |
| Token No | SM/24-25/16790 10/06/2024 | Serial | 039 |
| Patient Name | Mrs. RUBY SHA | Contact No | 9051283389 |
| Address | PACHUBAZAR | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||