Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12971 | Date 07/05/2025 |
| Token No | SM/25-26/392 07/05/2025 | Serial | 014 |
| Patient Name | Mrs. NITU DEBI | Contact No | 8981591160 |
| Address | PACHU BAZAR | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||