Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08927 | Date 29/04/2023 |
| Token No | SM/22-23/9287 29/04/2023 | Serial | 009 |
| Patient Name | Mrs. SALEHA KHATUN | Contact No | 9678458920 |
| Address | INDIA JUTE MILL | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||