Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10958 | Date 14/12/2023 |
| Token No | SM/22-23/13791 14/12/2023 | Serial | 022 |
| Patient Name | Mrs. AMITA CHOWDHURY | Contact No | 9836664927 |
| Address | 43 KHATIR BAZAR LANE | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||