Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04493 | Date 12/07/2023 |
| Token No | SM/22-23/12171 22/08/2023 | Serial | 039 |
| Patient Name | Mrs. MADHU BHUINYA | Contact No | 8910107140 |
| Address | HARIJAN PALLY SHEORAPHULLY 4NO RAIL GATE | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||