Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05747 | Date 21/04/2022 |
| Token No | SM/22-23/3393 14/06/2022 | Serial | 013 |
| Patient Name | Mrs. SONALI KHATUN | Contact No | 9330637148 |
| Address | 23 T.P BHATTACHARYA ST | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||