Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11623 | Date 06/06/2024 |
| Token No | SM/24-25/18537 02/09/2024 | Serial | 018 |
| Patient Name | Mrs. ASHA SHAW | Contact No | 6291601413 |
| Address | 23 BARAL BAGAN LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||