Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12329 | Date 13/11/2024 |
| Token No | SM/24-25/19680 13/11/2024 | Serial | 011 |
| Patient Name | Mrs. MAMTA DEBI | Contact No | 9772456119 |
| Address | 55 RAYLAND ROAD | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||