Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13710 | Date 06/11/2025 |
| Token No | SM/25-26/2540 06/11/2025 | Serial | 019 |
| Patient Name | Baby FATMA KHATOON | Contact No | 9748066917 |
| Address | 10/199 RAM SITA LANE | Age | 1 MONTH 21 DAYS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||