Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01741 | Date 01/03/2019 |
| Token No | SM/22-23/7261 29/12/2022 | Serial | 022 |
| Patient Name | Mrs. HOSENARA BEGUM.. | Contact No | 9836134667 |
| Address | 19A K.C BHATTACHARYA ST | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||