Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04489 | Date 12/07/2023 |
| Token No | SM/22-23/11406 05/08/2023 | Serial | 023 |
| Patient Name | Mrs. SHOBHA ADHIKARI | Contact No | 9088346732 |
| Address | BIBIRBER GHORAMARA P MALLICKPARA 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||