Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08687 | Date 31/03/2023 |
| Token No | SM/22-23/8676 31/03/2023 | Serial | 026 |
| Patient Name | Mrs. RITA CHOWDHURI | Contact No | 9832994181 |
| Address | PACHUBAZAR, 55 RAILAND ROAD | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||