Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08686 | Date 31/03/2023 |
| Token No | SM/24-25/17827 31/07/2024 | Serial | 004 |
| Patient Name | Mrs. ASHA CHOWDHURI | Contact No | 9832994181 |
| Address | PACHUBAZAR, 55 RAILAND ROAD | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||