Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07541 | Date 07/11/2022 |
| Token No | SM/22-23/10772 10/07/2023 | Serial | 024 |
| Patient Name | Mrs. HAJIRA BIBI | Contact No | 9836786354 |
| Address | K.C. BHATTACHARYA STREET | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||