Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10009 | Date 18/08/2023 |
| Token No | SM/22-23/12245 04/09/2023 | Serial | 029 |
| Patient Name | Miss SUDHA CHOWDHURY | Contact No | 6291165852 |
| Address | 62/a RAY LAND ROAD | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||