Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11789 | Date 15/07/2024 |
| Token No | SM/25-26/1330 23/07/2025 | Serial | 003 |
| Patient Name | Baby NITI KUMARI | Contact No | 9007076138 |
| Address | 27/A CHOWDHURY PARA | Age | 1 YEAR 6 MONTHS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||