Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08314 | Date 09/02/2023 |
| Token No | SM/22-23/7785 09/02/2023 | Serial | 027 |
| Patient Name | Mrs. RIYA PAL | Contact No | 6289948234 |
| Address | 19/2 POTUA PARA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||