Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11297 | Date 18/03/2024 |
| Token No | SM/22-23/15321 18/03/2024 | Serial | 010 |
| Patient Name | Mrs. SIMA CHOWDHURY | Contact No | 6289983879 |
| Address | PATUAPARA | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||