Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07876 | Date 09/09/2024 |
| Token No | SM/24-25/27949 09/09/2024 | Serial | 045 |
| Patient Name | Mrs. SAGARI HAZARI | Contact No | 8159919201 |
| Address | JANGALPARA JANGALPARA BAZAR 712701 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||