Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10759 | Date 08/11/2023 |
| Token No | SM/22-23/13239 08/11/2023 | Serial | 017 |
| Patient Name | Miss AFIA PARWEEN | Contact No | 9875591723 |
| Address | 22 AKC BHATTACHARJEE ST | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||