Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04263 | Date 07/04/2021 |
| Token No | SM/24-25/19787 20/11/2024 | Serial | 018 |
| Patient Name | Mrs. MAMATA DEVI | Contact No | NOT GIVEN |
| Address | 55 RAILAND ROAD | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||