Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04700 | Date 10/08/2021 |
| Token No | SM/24-25/17065 22/06/2024 | Serial | 019 |
| Patient Name | Mrs. AFROZA BEGUM | Contact No | 9007842135 |
| Address | DEY STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||