Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07880 | Date 05/12/2022 |
| Token No | SM/22-23/6799 05/12/2022 | Serial | 003 |
| Patient Name | Mrs. SRIKUMARI CHOWDHURY | Contact No | 7687952683 |
| Address | 55 RAILAND ROAD | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||