Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12654 | Date 13/02/2025 |
| Token No | SM/24-25/20944 13/02/2025 | Serial | 006 |
| Patient Name | Mrs. NANDINI DEBI | Contact No | 9330159166 |
| Address | RAILAND ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||