Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04883 | Date 07/09/2021 |
| Token No | SM/21-22/1078 07/09/2021 | Serial | 006 |
| Patient Name | Mrs. AFSARA BANU | Contact No | 9123956318 |
| Address | 10 GOPINATH SAHA STREET | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||