Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06045 | Date 09/06/2022 |
| Token No | SM/22-23/3301 09/06/2022 | Serial | 015 |
| Patient Name | Mrs. SUMAN CHOWDHURY | Contact No | NOT GIVEN |
| Address | SERAMPORE PANCH BABUR BAZAR | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||