Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05831 | Date 12/05/2022 |
| Token No | SM/22-23/2951 12/05/2022 | Serial | 008 |
| Patient Name | Mrs. ANITA CHOWDHURY | Contact No | 9674946110 |
| Address | 18 CHOWDHURY PARA LANE | Age | 69 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||