Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09094 | Date 17/05/2023 |
| Token No | SM/22-23/9639 17/05/2023 | Serial | 033 |
| Patient Name | Mrs. ARATI DOLUI | Contact No | NOT GIVEN |
| Address | 2 RUDRARAM PANDIT LANE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||