Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09275 | Date 08/06/2023 |
| Token No | SM/22-23/10058 08/06/2023 | Serial | 018 |
| Patient Name | Mrs. MARIYAM BEGUM | Contact No | 9875591723 |
| Address | 22 AKC BHATTACHARYA STREET | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||