Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08628 | Date 23/03/2023 |
| Token No | SM/22-23/8504 23/03/2023 | Serial | 015 |
| Patient Name | Miss SAINAJ KHATUN | Contact No | 8088890639 |
| Address | 59 THAKUR BATI STREET | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||