Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06381 | Date 19/07/2022 |
| Token No | SM/22-23/3903 19/07/2022 | Serial | 026 |
| Patient Name | Mrs. MANI HARI | Contact No | 6291363480 |
| Address | 13/B/2 BOSEPARA LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||