Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06022 | Date 07/06/2022 |
| Token No | SM/24-25/18981 24/09/2024 | Serial | 011 |
| Patient Name | Mrs. TAMIMA BIBI | Contact No | NOT GIVEN |
| Address | T.C GOSWAMI STREET | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||