Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10476 | Date 22/09/2023 |
| Token No | SM/22-23/12611 22/09/2023 | Serial | 010 |
| Patient Name | Mrs. BARNALI MALIK | Contact No | 7450802442 |
| Address | HARIPUR, ATPARA | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||