Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11999 | Date 24/08/2024 |
| Token No | SM/24-25/18368 24/08/2024 | Serial | 008 |
| Patient Name | Mrs. SK ROHIMA BEGUM | Contact No | 9836857168 |
| Address | 11 K.C. BHATTACHARYA STREET | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||