Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08366 | Date 07/12/2024 |
| Token No | SM/24-25/32585 10/12/2024 | Serial | 015 |
| Patient Name | Miss AFRIN KHATUN | Contact No | 8013227619 |
| Address | SHEORAPHULI KHANDAKAR PARA BAIDYABATI M 712223 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||