Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09924 | Date 09/08/2023 |
| Token No | SM/22-23/11503 09/08/2023 | Serial | 021 |
| Patient Name | Mrs. ANITA KUMARI ROY | Contact No | 6289671652 |
| Address | 23 BARAL BAGAN | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||