Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08814 | Date 21/04/2023 |
| Token No | SM/22-23/9054 21/04/2023 | Serial | 074 |
| Patient Name | Mr. MALATI BARUA | Contact No | NOT GIVEN |
| Address | 7 RAIGHAT LANE | Age | 41 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||