Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12278 | Date 28/10/2024 |
| Token No | SM/25-26/166 21/04/2025 | Serial | 011 |
| Patient Name | Mrs. RUPAN DEVI | Contact No | 8264736357 |
| Address | 3 G.T. ROAD | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||