Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07452 | Date 31/10/2022 |
| Token No | SM/22-23/5901 31/10/2022 | Serial | 013 |
| Patient Name | Mrs. MINA NANDY | Contact No | 9051376165 |
| Address | 20 DOSTI LANE | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||