Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11811 | Date 18/07/2024 |
| Token No | SM/24-25/17591 18/07/2024 | Serial | 033 |
| Patient Name | Mrs. SIMA DEBI SINGH | Contact No | |
| Address | 3 G.T ROAD BARAL BAGAN | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||