Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10334 | Date 07/09/2023 |
| Token No | SM/22-23/12330 07/09/2023 | Serial | 023 |
| Patient Name | Mrs. RUBI SHAW | Contact No | 9051283389 |
| Address | 23/A PACHU BAZAR BARAL BAGAN | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||