Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08356 | Date 16/02/2023 |
| Token No | SM/24-25/17380 06/07/2024 | Serial | 018 |
| Patient Name | Mrs. KUSUM DEBI. | Contact No | 9163504713 |
| Address | 55 RAILAND ROAD | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||