Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11455 | Date 26/04/2024 |
| Token No | SM/24-25/18092 09/08/2024 | Serial | 031 |
| Patient Name | Miss MAMTA MAHATO | Contact No | 9477539199 |
| Address | 23 BARAL BAGAN | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||