Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12706 | Date 26/02/2025 |
| Token No | SM/25-26/175 21/04/2025 | Serial | 020 |
| Patient Name | Mrs. SAKINA BEGUM | Contact No | 9339744540 |
| Address | 19/A K.C. BHATTACHARYA STREET | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||