Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12017 | Date 29/08/2024 |
| Token No | SM/24-25/18462 29/08/2024 | Serial | 026 |
| Patient Name | Mrs. RUBINA PARWEEN | Contact No | 7596903230 |
| Address | 51/A DR. N.L. BHATTACHARYA STREET | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||