Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12296 | Date 04/11/2024 |
| Token No | SM/24-25/19566 04/11/2024 | Serial | 012 |
| Patient Name | Mrs. SUN ITA CHOWDHURY | Contact No | 9123059374 |
| Address | 7 DEY GHAT LANE | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||