Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13595 | Date 11/10/2025 |
| Token No | SM/25-26/2249 11/10/2025 | Serial | 004 |
| Patient Name | Master AYAT PARVEEN | Contact No | 9681929940 |
| Address | 42 P.G.B. SARANI, TINBAZAR | Age | 10 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||