Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12011 | Date 29/08/2024 |
| Token No | SM/24-25/18440 29/08/2024 | Serial | 004 |
| Patient Name | Mrs. LAKKHI DEBI | Contact No | 8240576090 |
| Address | BORAL BAGAN, PACHU BAZAR | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||