Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09754 | Date 24/07/2023 |
| Token No | SM/22-23/11151 24/07/2023 | Serial | 023 |
| Patient Name | Mrs. ANITA CHOWDHURY | Contact No | NOT GIVEN |
| Address | 62 RAY LAND ROAD | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||