Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06629 | Date 04/08/2022 |
| Token No | SM/22-23/4329 04/08/2022 | Serial | 043 |
| Patient Name | Mrs. JAINAB KHATUN | Contact No | 8100296626 |
| Address | 41 K.M.BHATTACHARYA ST. | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||