Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12440 | Date 09/12/2024 |
| Token No | SM/24-25/20104 09/12/2024 | Serial | 023 |
| Patient Name | Miss JUHI KUMARI. | Contact No | 6289944188 |
| Address | BARAL BAGAN LANE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||