Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06071 | Date 13/06/2022 |
| Token No | SM/24-25/20092 09/12/2024 | Serial | 011 |
| Patient Name | Miss MUSKAN KHATUN.. | Contact No | 9477459176 |
| Address | 19 A K C BHATTACHARJEE STREET | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||