Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11475 | Date 06/05/2024 |
| Token No | SM/24-25/16064 06/05/2024 | Serial | 005 |
| Patient Name | Mrs. FARIDA KHATUN | Contact No | |
| Address | N.L. BHATTACHARYA STREET | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||