Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07751 | Date 27/08/2024 |
| Token No | SM/24-25/27234 27/08/2024 | Serial | 023 |
| Patient Name | Miss AFRIN KHATUN | Contact No | 7595096906 |
| Address | MALANCHA MAHINAGAR CHANDPUR SONARPUR 700145 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||