Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10886 | Date 06/12/2023 |
| Token No | SM/25-26/2973 11/12/2025 | Serial | 021 |
| Patient Name | Mrs. SUPRIYA KHATUN | Contact No | 7278069770 |
| Address | 19a akc bhattacharya street | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||