Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05576 | Date 23/03/2022 |
| Token No | SM/24-25/20011 02/12/2024 | Serial | 017 |
| Patient Name | Mrs. SAMITA CHOWDHURY | Contact No | NOT GIVEN |
| Address | 1 AUDDY LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||