Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03593 | Date 10/12/2019 |
| Token No | SM/22-23/2779 21/04/2022 | Serial | 003 |
| Patient Name | Baby MARYAM ARA | Contact No | 7003406226 |
| Address | 10 CHATTERJEE LANE | Age | 2 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||