Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12308 | Date 09/11/2024 |
| Token No | SM/24-25/21256 08/03/2025 | Serial | 015 |
| Patient Name | Mrs. NANDINI RAJBHAR | Contact No | 6378405945 |
| Address | 38 RAILWAY QUATER | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||