Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10747 | Date 06/11/2023 |
| Token No | SM/22-23/13206 06/11/2023 | Serial | 029 |
| Patient Name | Mrs. MEHERUN NISHA | Contact No | 9330752155 |
| Address | 16 GOPINATH SAHA STREET | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||