Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12541 | Date 16/01/2025 |
| Token No | SM/24-25/20545 16/01/2025 | Serial | 022 |
| Patient Name | Mrs. KANTA SHAW. | Contact No | 6290591342 |
| Address | 17 BARAL BAGAN | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||