Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12927 | Date 25/04/2025 |
| Token No | SM/25-26/255 25/04/2025 | Serial | 001 |
| Patient Name | Mrs. PUJA DAS PASWAN | Contact No | 8910926639 |
| Address | 4 NOTUN BAGAN | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||