Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09009 | Date 11/05/2023 |
| Token No | SM/22-23/9489 11/05/2023 | Serial | 014 |
| Patient Name | Miss AYATH RAHAMAN | Contact No | 8335032479 |
| Address | 7 M.C. LAHIRI | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||