Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04672 | Date 03/08/2021 |
| Token No | SM/21-22/2287 28/02/2022 | Serial | 012 |
| Patient Name | Mrs. ANWARA BEGUM | Contact No | 8820394467 |
| Address | GOPINATH SAHA STREET | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||