Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13834 | Date 06/12/2025 |
| Token No | SM/25-26/2902 06/12/2025 | Serial | 007 |
| Patient Name | Mrs. SUNITA CHOWDHURY. | Contact No | 9123059374 |
| Address | 7 DEY GHAT LANE | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||