Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11800 | Date 18/07/2024 |
| Token No | SM/24-25/17563 18/07/2024 | Serial | 005 |
| Patient Name | Miss DURGA JAISWARA | Contact No | 6291234048 |
| Address | 25A NOTUN BAGAN | Age | 7 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||