Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03484 | Date 23/12/2022 |
| Token No | SM/22-23/5591 23/12/2022 | Serial | 028 |
| Patient Name | Mrs. SAIBA BISWAS | Contact No | 8420420305 |
| Address | MOLLABER | Age | 59 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||