Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13207 | Date 07/07/2025 |
| Token No | SM/25-26/1098 07/07/2025 | Serial | 002 |
| Patient Name | Mrs. DHAN KUMARI DEVI | Contact No | 6289462829 |
| Address | 8/J RAILAND ROAD | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||