Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04313 | Date 12/06/2023 |
| Token No | SM/22-23/9508 12/06/2023 | Serial | 027 |
| Patient Name | Mrs. BASANTI BHUINYA | Contact No | 8584074399 |
| Address | 1 JUBILI HOUSE FL 197 SERAMPORE 712201 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||