Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11820 | Date 20/07/2024 |
| Token No | SM/24-25/17633 20/07/2024 | Serial | 013 |
| Patient Name | Baby NAJMIN KHATUN | Contact No | 9661688852 |
| Address | DEY STREET | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||