Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12367 | Date 21/11/2024 |
| Token No | SM/24-25/19820 21/11/2024 | Serial | 015 |
| Patient Name | Mrs. SIMA SHAW | Contact No | 6291520787 |
| Address | BARAL BAGAN | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||