Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12450 | Date 12/12/2024 |
| Token No | SM/24-25/20170 12/12/2024 | Serial | 013 |
| Patient Name | Miss RIYA CHOWDHURY | Contact No | 7687952683 |
| Address | 55 RAY LAND ROAD | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||