Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06318 | Date 19/02/2024 |
| Token No | SM/22-23/18802 19/02/2024 | Serial | 080 |
| Patient Name | Miss AYESHA KHATUN | Contact No | 8348307027 |
| Address | BHOLADANGA GAYESHPUR SHANTIPUR NADIA 741404 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||