Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07082 | Date 21/06/2024 |
| Token No | SM/24-25/26895 20/08/2024 | Serial | 063 |
| Patient Name | Miss NARGIS RAHAMAN | Contact No | 7602543688 |
| Address | MADHABPUR DIMOND HARBOUR 743331 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||