Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11529 | Date 14/05/2024 |
| Token No | SM/24-25/19696 14/11/2024 | Serial | 003 |
| Patient Name | Mrs. ASNARA BIBI | Contact No | 9631149504 |
| Address | AKC BHATTACHARYA STREET | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||