Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07545 | Date 07/11/2022 |
| Token No | SM/22-23/14104 04/01/2024 | Serial | 006 |
| Patient Name | Mrs. NAZIYA GUFFRANA | Contact No | 7003918623 |
| Address | SAHANA PURBA PARA BORA | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||