Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12094 | Date 11/09/2024 |
| Token No | SM/24-25/18758 11/09/2024 | Serial | 021 |
| Patient Name | Mrs. JOSNA BEGUM | Contact No | 9038302550 |
| Address | 84 DEY STREET | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||