Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08970 | Date 04/05/2023 |
| Token No | SM/22-23/9436 06/05/2023 | Serial | 015 |
| Patient Name | Mrs. SREEKUMARI CHOWDHURY | Contact No | 9062436493 |
| Address | 62A RAYLAND ROAD | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||