Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12894 | Date 21/04/2025 |
| Token No | SM/25-26/163 21/04/2025 | Serial | 008 |
| Patient Name | Mrs. GURIYA DEBI | Contact No | 9031148946 |
| Address | RAYLAND ROAD, PACHU BAZAR | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||