Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12119 | Date 20/09/2024 |
| Token No | SM/24-25/18892 20/09/2024 | Serial | 012 |
| Patient Name | Mrs. RENU RAJBHAR | Contact No | 7003859278 |
| Address | 38 RAIL QUATER | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||