Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09022 | Date 12/05/2023 |
| Token No | SM/22-23/9522 12/05/2023 | Serial | 010 |
| Patient Name | Mrs. MAHUYA HAZRA | Contact No | NOT GIVEN |
| Address | PACH BABUR BAZAR | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||