Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08141 | Date 09/01/2023 |
| Token No | SM/22-23/7420 09/01/2023 | Serial | 008 |
| Patient Name | Mrs. CHAYNA BANIK CHOWDHURY | Contact No | 9088350174 |
| Address | SERAMPORE COLONY MALLICKPARA | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||