Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11735 | Date 03/07/2024 |
| Token No | SM/24-25/17292 03/07/2024 | Serial | 019 |
| Patient Name | Miss AYESHA SINGH | Contact No | 9748445789 |
| Address | 25 NOTUN BAGAN | Age | 6 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||