Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09539 | Date 05/07/2023 |
| Token No | SM/22-23/10631 05/07/2023 | Serial | 006 |
| Patient Name | Miss NITIKA CHOWDHURY | Contact No | 9804287724 |
| Address | 34 K M B STREET | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||