Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09414 | Date 19/06/2023 |
| Token No | SM/22-23/10344 19/06/2023 | Serial | 031 |
| Patient Name | Mrs. SAMSUN NIHAR BEGM | Contact No | 7044135136 |
| Address | 32 MUSALMANPARA LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||