Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08086 | Date 02/01/2023 |
| Token No | SM/22-23/7308 02/01/2023 | Serial | 007 |
| Patient Name | Mrs. SAHANARA BEGUM. | Contact No | 8513930937 |
| Address | HARIPAL | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||