Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10553 | Date 27/09/2023 |
| Token No | SM/24-25/17994 07/08/2024 | Serial | 037 |
| Patient Name | Mrs. DIPA PASI | Contact No | 8910518656 |
| Address | 10 RAIL QUATER | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||