Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12003 | Date 24/08/2024 |
| Token No | SM/24-25/21070 22/02/2025 | Serial | 007 |
| Patient Name | Mrs. MARUFA KHATOON | Contact No | 8420077625 |
| Address | 14 A K C BHATTACHARJEE LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||