Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12330 | Date 13/11/2024 |
| Token No | SM/24-25/19684 13/11/2024 | Serial | 015 |
| Patient Name | Mrs. JYOTI SINGH | Contact No | 8100300771 |
| Address | 25/A BARAL BAGAN | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||