Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10080 | Date 22/08/2023 |
| Token No | SM/22-23/11835 22/08/2023 | Serial | 014 |
| Patient Name | Master AYAN CHOWDHURY | Contact No | 8910151032 |
| Address | RAY LAND ROAD | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||