Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12467 | Date 18/12/2024 |
| Token No | SM/24-25/20275 18/12/2024 | Serial | 027 |
| Patient Name | Miss BRISTI MANNA | Contact No | 9804460905 |
| Address | 32A/1 CHOWDHURY PARA LANE | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||