Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05366 | Date 31/01/2022 |
| Token No | SM/24-25/21377 19/03/2025 | Serial | 015 |
| Patient Name | Mrs. RUKSANA BEGUM | Contact No | 7890503584 |
| Address | 10 GOPINATH SAHA STREET | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||