Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08965 | Date 03/05/2023 |
| Token No | SM/22-23/9364 03/05/2023 | Serial | 027 |
| Patient Name | Mrs. MUNMUN SAHA | Contact No | 7008945680 |
| Address | DHARMATALA | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||