Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11984 | Date 21/08/2024 |
| Token No | SM/24-25/18315 21/08/2024 | Serial | 029 |
| Patient Name | Mrs. GURIYA SHAW | Contact No | 8961627195 |
| Address | 72/L POTUA PARA | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||