Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03267 | Date 22/10/2019 |
| Token No | SM/22-23/10810 12/07/2023 | Serial | 016 |
| Patient Name | Mrs. FATEMA BIBI | Contact No | 6291103254 |
| Address | 24A K C BHATTACHARYA STREET | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||