Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07047 | Date 15/09/2022 |
| Token No | SM/22-23/5136 15/09/2022 | Serial | 017 |
| Patient Name | Miss TANIYA NAHA | Contact No | 9123938191 |
| Address | 46 DEY BAGAN LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||