Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05627 | Date 09/11/2023 |
| Token No | SM/22-23/15348 09/11/2023 | Serial | 007 |
| Patient Name | Baby MEHAJABIN KHATUN | Contact No | 9748499682 |
| Address | SAHANA PASCHIMPARA BORA 712306 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||