Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10542 | Date 26/09/2023 |
| Token No | SM/22-23/12936 04/10/2023 | Serial | 015 |
| Patient Name | Mrs. PRIYA SARKAR | Contact No | 8910649818 |
| Address | 32 BARAL BAGAN (local address chowdhury para) | Age | 19YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||