Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09896 | Date 07/08/2023 |
| Token No | SM/22-23/11441 07/08/2023 | Serial | 017 |
| Patient Name | Mrs. CHHABI GHOSH | Contact No | 6291382956 |
| Address | 10 CHOWDHURY PARA | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||