Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13074 | Date 05/06/2025 |
| Token No | SM/25-26/667 05/06/2025 | Serial | 007 |
| Patient Name | Miss KANISHKA CHOWDHURY | Contact No | 8777681757 |
| Address | 7 DEY GHAT LANE | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||