Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11097 | Date 05/02/2024 |
| Token No | SM/22-23/14591 05/02/2024 | Serial | 020 |
| Patient Name | Mrs. SUKLA CHOWDHURY | Contact No | 7998764027 |
| Address | 19 AKNA CHOWDHURY PARA | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||