Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08109 | Date 04/01/2023 |
| Token No | SM/22-23/7359 04/01/2023 | Serial | 022 |
| Patient Name | Miss SONI CHOWDHURI | Contact No | 7980543850 |
| Address | 62/A RAILAND ROAD | Age | 16 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||