Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09056 | Date 15/05/2023 |
| Token No | SM/22-23/9574 15/05/2023 | Serial | 027 |
| Patient Name | Mrs. FARUKI BEGUM | Contact No | |
| Address | K C BHATTACHARJEE ST | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||