Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07557 | Date 09/11/2022 |
| Token No | SM/22-23/6116 09/11/2022 | Serial | 009 |
| Patient Name | Miss SURAIYAA KHATUN | Contact No | 8910583255 |
| Address | 15 A K C BHATTACHARJEE STREET | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||