Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12625 | Date 06/02/2025 |
| Token No | SM/24-25/20853 06/02/2025 | Serial | 009 |
| Patient Name | Mrs. BABITA DEBI.. | Contact No | 9903322200 |
| Address | RAY LAND ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||