Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05746 | Date 21/04/2022 |
| Token No | SM/24-25/20676 24/01/2025 | Serial | 018 |
| Patient Name | Mrs. NILAM KHATUN | Contact No | 7449449118 |
| Address | 41 K M SHA STREET | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||