Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09987 | Date 16/08/2023 |
| Token No | SM/22-23/11652 16/08/2023 | Serial | 025 |
| Patient Name | Mrs. RUKSHAD BEGUM | Contact No | 8017004526 |
| Address | 15 K C BHATTACHARJEE STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||