Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12309 | Date 09/11/2024 |
| Token No | SM/24-25/19632 09/11/2024 | Serial | 007 |
| Patient Name | Mrs. REKHA RAJBHAR | Contact No | 6378405945 |
| Address | 38 RAIL QUATER | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||