Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12204 | Date 05/10/2024 |
| Token No | SM/24-25/19210 05/10/2024 | Serial | 009 |
| Patient Name | Miss INAYAT KHAN | Contact No | 6289675264 |
| Address | 21 A K C BHATTACHARJEE STREET | Age | 4 YEARS 6 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||