Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06484 | Date 27/03/2024 |
| Token No | SM/22-23/20205 27/03/2024 | Serial | 031 |
| Patient Name | Baby NASIHA KHATUN | Contact No | 7003273368 |
| Address | GUMODANGA BAMUNARI MOLLABER 712250 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||