Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08365 | Date 07/12/2024 |
| Token No | SM/24-25/32426 07/12/2024 | Serial | 019 |
| Patient Name | Mrs. ARMINA BEGUM | Contact No | 7864847598 |
| Address | KRISHNABATI KULBATPUR 712414 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||