Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10442 | Date 21/09/2023 |
| Token No | SM/22-23/12554 21/09/2023 | Serial | 004 |
| Patient Name | Miss ANJALI CHJOWDHURY | Contact No | 8240864074 |
| Address | 36 BARAL BAGAN | Age | 18 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||