Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13511 | Date 12/09/2025 |
| Token No | SM/25-26/2021 12/09/2025 | Serial | 007 |
| Patient Name | Mrs. CHANDA DEBI | Contact No | 7439456171 |
| Address | PACHUBAZAR | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||