Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06932 | Date 06/09/2022 |
| Token No | SM/22-23/4904 06/09/2022 | Serial | 019 |
| Patient Name | Miss ARIYA KHATUN | Contact No | 9748144788 |
| Address | 13 K.C BHATTACHARYA | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||