Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07692 | Date 16/11/2022 |
| Token No | SM/22-23/6374 16/11/2022 | Serial | 004 |
| Patient Name | Miss SALMA KHATUN.. | Contact No | 8910583255 |
| Address | 15 K.C.BHATTACHARYA ST | Age | 42 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||