Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06655 | Date 27/04/2024 |
| Token No | SM/24-25/21271 27/04/2024 | Serial | 039 |
| Patient Name | Mrs. RIJIYA BIBI | Contact No | 8348307027 |
| Address | BHOLADANGA GAYESHPUR NADIA 741404 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||