Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13310 | Date 28/07/2025 |
| Token No | SM/25-26/1819 01/09/2025 | Serial | 019 |
| Patient Name | Mrs. SWAPNA KUMARI SINGH PAL | Contact No | 8100535827 |
| Address | 57/71 RAY LAND ROAD (LOCAL) | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||