Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07196 | Date 11/10/2022 |
| Token No | SM/22-23/5414 11/10/2022 | Serial | 014 |
| Patient Name | Miss SUBHANGI CHOWDHURI | Contact No | 7250075904 |
| Address | 2/A RAILAND ROAD | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||