Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11684 | Date 20/06/2024 |
| Token No | SM/24-25/20183 12/12/2024 | Serial | 026 |
| Patient Name | Mrs. MAMTA DEBI | Contact No | 7439278911 |
| 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 | |||