Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11641 | Date 11/06/2024 |
| Token No | SM/24-25/16812 11/06/2024 | Serial | 020 |
| Patient Name | Mrs. CHANDA KHATUN | Contact No | 9123331886 |
| Address | 21 DR. N L BHATTACHARJEE STREET | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||