Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07232 | Date 13/10/2022 |
| Token No | SM/22-23/5479 13/10/2022 | Serial | 023 |
| Patient Name | Mrs. PAPIYA SAHA | Contact No | 9903168008 |
| Address | 39/J B.L.C. MILLS ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||