Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11379 | Date 08/04/2024 |
| Token No | SM/24-25/15647 08/04/2024 | Serial | 006 |
| Patient Name | Miss ATIYA AMIN | Contact No | 9433668570 |
| Address | DEY GHAT LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||