Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12554 | Date 22/01/2025 |
| Token No | SM/24-25/20638 22/01/2025 | Serial | 006 |
| Patient Name | Mrs. HIRAMANI CHOWDHURY | Contact No | 9382256131 |
| Address | 25/A NOTUN BAGAN | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||