Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11774 | Date 11/07/2024 |
| Token No | SM/24-25/17458 11/07/2024 | Serial | 009 |
| Patient Name | Mrs. GURIYA DAS,., | Contact No | 8478982276 |
| Address | BARAL BAGAN LANE | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||