Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11848 | Date 29/07/2024 |
| Token No | SM/24-25/17775 29/07/2024 | Serial | 002 |
| Patient Name | Mrs. JHARNA CHOWDHURY | Contact No | 9051108615 |
| Address | 157 N S AVENUE | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||