Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10298 | Date 04/09/2023 |
| Token No | SM/22-23/12260 04/09/2023 | Serial | 044 |
| Patient Name | Mrs. TANDRA AICH | Contact No | 9143491923 |
| Address | 3/A/3 RAYLAND CIRCULAR ROAD | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||