Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12252 | Date 21/10/2024 |
| Token No | SM/24-25/19375 21/10/2024 | Serial | 017 |
| Patient Name | Mrs. NILAM DEVI | Contact No | 8420852153 |
| Address | PACHU BAZAR | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||