Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12553 | Date 22/01/2025 |
| Token No | SM/25-26/874 18/06/2025 | Serial | 009 |
| Patient Name | Mrs. SARASWATI CHOWDHURY | Contact No | 9382256131 |
| Address | notun bagan | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||