Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09586 | Date 10/07/2023 |
| Token No | SM/22-23/10774 10/07/2023 | Serial | 026 |
| Patient Name | Mrs. NEHA KUMARI | Contact No | 9007076138 |
| Address | 27/A CHOWDHURY PARA | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||