Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11806 | Date 18/07/2024 |
| Token No | SM/24-25/17576 18/07/2024 | Serial | 018 |
| Patient Name | Miss SEHJADI KHATUN | Contact No | 8088890639 |
| Address | 59 T B STREET | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||