Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10006 | Date 18/08/2023 |
| Token No | SM/22-23/11708 18/08/2023 | Serial | 008 |
| Patient Name | Miss RAIMA NATH | Contact No | 9836532298 |
| Address | 19 CHOWDHURY PARA | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||