Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09709 | Date 20/07/2023 |
| Token No | SM/22-23/11068 20/07/2023 | Serial | 028 |
| Patient Name | Mrs. SOVA CHOWDHURY | Contact No | 8017116679 |
| Address | 34 K M B STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Chargable |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||