Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12658 | Date 13/02/2025 |
| Token No | SM/24-25/20948 13/02/2025 | Serial | 010 |
| Patient Name | Mrs. ANU DEBI | Contact No | 8100084584 |
| Address | RAILAND ROAD | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||