Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10010 | Date 18/08/2023 |
| Token No | SM/22-23/11717 18/08/2023 | Serial | 017 |
| Patient Name | Miss SUSHMA CHODHURY | Contact No | 9339335558 |
| Address | 62 RAY LAND ROAD | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||