Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07081 | Date 19/09/2022 |
| Token No | SM/24-25/18949 23/09/2024 | Serial | 028 |
| Patient Name | Mrs. MINATI BRAHMA | Contact No | 7980981877 |
| Address | 30/A RAJYADHARPUR | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||