Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09849 | Date 03/08/2023 |
| Token No | SM/22-23/11341 03/08/2023 | Serial | 005 |
| Patient Name | Mrs. SRIKUMARI CHOWDHURY | Contact No | |
| Address | PACHU BAZAR, 62 RAY LAND | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||