Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10545 | Date 27/09/2023 |
| Token No | SM/22-23/12737 27/09/2023 | Serial | 007 |
| Patient Name | Miss SUVANGI CHOWDHURY | Contact No | 9339335558 |
| Address | 62/A RAYLAND ROAD | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||