Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08120 | Date 05/01/2023 |
| Token No | SM/22-23/7381 05/01/2023 | Serial | 016 |
| Patient Name | Mrs. SABITA CHOUDHURY | Contact No | 9051604417 |
| Address | 55 RAILAND ROAD | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||