Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09685 | Date 19/07/2023 |
| Token No | SM/22-23/11019 19/07/2023 | Serial | 010 |
| Patient Name | Miss NAINA KHATUN | Contact No | 8100262166 |
| Address | 21 K C B STREET | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||