Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09730 | Date 21/07/2023 |
| Token No | SM/22-23/11116 21/07/2023 | Serial | 019 |
| Patient Name | Mrs. MAMTAJ KHATUN | Contact No | 7003147495 |
| Address | 15 AKC BHATTACHARYA STREET | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||