Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05742 | Date 21/04/2022 |
| Token No | SM/22-23/2788 21/04/2022 | Serial | 012 |
| Patient Name | Mrs. NEHA RAJBHAR CHOWDHURY | Contact No | 8910093783 |
| Address | 19 BAZAR BYE LANE | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||