Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10969 | Date 18/12/2023 |
| Token No | SM/22-23/13877 18/12/2023 | Serial | 028 |
| Patient Name | Mrs. AFSANA KHATUN | Contact No | 8276091995 |
| Address | LAXMIGHAT | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||