Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10470 | Date 22/09/2023 |
| Token No | SM/22-23/12603 22/09/2023 | Serial | 002 |
| Patient Name | Mrs. SAMSUN NESHA | Contact No | 9163355462 |
| Address | DEY STREET | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||