Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08213 | Date 01/02/2023 |
| Token No | SM/22-23/7607 01/02/2023 | Serial | 002 |
| Patient Name | Mrs. BABY KHATOON | Contact No | 8585876088 |
| Address | 14 AKC BHATTACHARYA STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||