Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13061 | Date 26/05/2025 |
| Token No | SM/25-26/1814 01/09/2025 | Serial | 014 |
| Patient Name | Mrs. ARTI KUMARI | Contact No | 9835572646 |
| Address | 38 RAILWAY QUARTER ,BARAL BAGAN | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||