Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11675 | Date 19/06/2024 |
| Token No | SM/24-25/19926 27/11/2024 | Serial | 003 |
| Patient Name | Mrs. RAJINA KHATUN | Contact No | 9903266788 |
| Address | 8 NO RAJMOHON GOSWAMI LANE | Age | 22 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||