Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08320 | Date 10/02/2023 |
| Token No | SM/22-23/7809 10/02/2023 | Serial | 005 |
| Patient Name | Mrs. NITU DEBI. | Contact No | 8478921417 |
| Address | NEW GATE STREET DHARMATALA | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||