Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12936 | Date 28/04/2025 |
| Token No | SM/25-26/286 28/04/2025 | Serial | 014 |
| Patient Name | Mrs. BABY CHOWDHURY | Contact No | 8910589164 |
| Address | RAY LAND ROAD | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||