Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12263 | Date 24/10/2024 |
| Token No | SM/24-25/19443 24/10/2024 | Serial | 004 |
| Patient Name | Miss IBRANA ARRAH | Contact No | 8337007343 |
| Address | 5/B/3/1 DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||