Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03497 | Date 29/11/2019 |
| Token No | SM/24-25/18572 04/09/2024 | Serial | 008 |
| Patient Name | Mrs. SIRIN SULTANA | Contact No | 8005821383 |
| Address | 26 K C BHATTACHARYA STREET | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||