Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12828 | Date 26/03/2025 |
| Token No | SM/24-25/21462 26/03/2025 | Serial | 001 |
| Patient Name | Mrs. NEHA KHATUN | Contact No | 9903097338 |
| Address | 51 R.B.SARANI | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||