Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11928 | Date 09/08/2024 |
| Token No | SM/24-25/18082 09/08/2024 | Serial | 021 |
| Patient Name | Mrs. ANSU DEVI | Contact No | 6290872147 |
| Address | 55 ROYLAND ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||