Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06014 | Date 07/06/2022 |
| Token No | SM/24-25/20495 13/01/2025 | Serial | 038 |
| Patient Name | Mrs. JAIMUN NISHA | Contact No | 8100388107 |
| Address | 3 PARSHI LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||