Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11801 | Date 18/07/2024 |
| Token No | SM/24-25/17568 18/07/2024 | Serial | 010 |
| Patient Name | Mrs. RENUKA DAS | Contact No | 8334927324 |
| Address | PATUA PARA | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||