Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02234 | Date 11/06/2019 |
| Token No | SM/22-23/14172 08/01/2024 | Serial | 036 |
| Patient Name | Miss LAXMI KHATUN | Contact No | 8981443008 |
| Address | 18 K.C BHATTACHARYA LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||