Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05981 | Date 31/05/2022 |
| Token No | SM/22-23/3183 31/05/2022 | Serial | 003 |
| Patient Name | Mrs. MINU TPARBAT | Contact No | 9681820670 |
| Address | 18 D.B. BHATTACHARYA STREET | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||