Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11606 | Date 03/06/2024 |
| Token No | SM/24-25/17912 05/08/2024 | Serial | 014 |
| Patient Name | Mrs. JAYA CHOUDHARY | Contact No | 6290941782 |
| Address | 55/A RAYLAND ROAD | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||