Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12663 | Date 13/02/2025 |
| Token No | SM/24-25/20957 13/02/2025 | Serial | 019 |
| Patient Name | Mrs. SANDHYA PANDEY | Contact No | 9432435557 |
| Address | 51 S.P. MUKHERJEE SARANI | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||