Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08346 | Date 16/02/2023 |
| Token No | SM/22-23/10647 05/07/2023 | Serial | 022 |
| Patient Name | Mrs. MANISHA MAJHI(HAZRA) | Contact No | 7439153725 |
| Address | 37 BARAL BAGAN | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||