Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11736 | Date 03/07/2024 |
| Token No | SM/24-25/17376 06/07/2024 | Serial | 014 |
| Patient Name | Mrs. USHA SHAW | Contact No | 8910590921 |
| Address | 17 NO BARAL BAGAN | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||