Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06070 | Date 13/06/2022 |
| Token No | SM/22-23/14408 25/01/2024 | Serial | 006 |
| Patient Name | Miss MONOHARA KHATUN | Contact No | 9477459176 |
| Address | 24 A K C BHATTACHARJEE STREET | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||