Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12188 | Date 01/10/2024 |
| Token No | SM/24-25/19141 01/10/2024 | Serial | 007 |
| Patient Name | Miss MOUTUSHI SANTRA | Contact No | 8648008287 |
| Address | 22/D NOTUN BAGAN LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||