Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06295 | Date 06/07/2022 |
| Token No | SM/22-23/3763 06/07/2022 | Serial | 007 |
| Patient Name | Miss MUSKAN KHATOON | Contact No | NOT GIVEN |
| Address | 19 A K C BHATTACHARJEE STREET | Age | 13 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||