Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08852 | Date 25/04/2023 |
| Token No | SM/22-23/9140 25/04/2023 | Serial | 013 |
| Patient Name | Miss POLY PAL | Contact No | 9863857480 |
| Address | KALITALA | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||