Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13075 | Date 05/06/2025 |
| Token No | SM/25-26/668 05/06/2025 | Serial | 008 |
| Patient Name | Miss MANSHI CHOWDHURY | Contact No | 8777681757 |
| Address | 7 DEY GHAT LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||