Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08954 | Date 03/05/2023 |
| Token No | SM/22-23/9344 03/05/2023 | Serial | 007 |
| Patient Name | Mrs. SUNITA CHOWDHURY | Contact No | 9051899810 |
| Address | 18A CHOWDHURY PARA LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||