Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08547 | Date 14/03/2023 |
| Token No | SM/22-23/8284 14/03/2023 | Serial | 020 |
| Patient Name | Mrs. DIPASHREE CHOWDHURY | Contact No | 9836532298 |
| Address | 19 CHOWDHURY PARA | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||