Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11601 | Date 03/06/2024 |
| Token No | SM/24-25/16641 03/06/2024 | Serial | 028 |
| Patient Name | Mrs. RAMA CHOWDHURY | Contact No | 9874924561 |
| Address | 17/A CHOWDHURY PARA LANE | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||