Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10332 | Date 07/09/2023 |
| Token No | SM/22-23/12328 07/09/2023 | Serial | 021 |
| Patient Name | Mrs. TANUSHREE SARDAR | Contact No | 9051626541 |
| Address | 765 G.T. MAHESH BOSEPARA | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||