Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12679 | Date 21/02/2025 |
| Token No | SM/24-25/21042 21/02/2025 | Serial | 002 |
| Patient Name | Mrs. BABITA CHOWDHURY | Contact No | 9681007242 |
| Address | 25A NOTUN BAGAN, PACHU BAZAR | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||