Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02957 | Date 01/09/2019 |
| Token No | SM/22-23/10159 13/06/2023 | Serial | 021 |
| Patient Name | Mrs. OSHTI MONDOL | Contact No | NOT GIVEN |
| Address | NEAR NAGA BAZAR | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||