Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09808 | Date 28/07/2023 |
| Token No | SM/22-23/11253 28/07/2023 | Serial | 015 |
| Patient Name | Mrs. RAMA DEBNATH | Contact No | 9831364703 |
| Address | CHOWDHURY PARA | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||