Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12000 | Date 24/08/2024 |
| Token No | SM/24-25/18372 24/08/2024 | Serial | 012 |
| Patient Name | Master ROHAN CHOWDHURY | Contact No | 8981591160 |
| Address | PACHU BAZAR | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||