Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05132 | Date 02/12/2021 |
| Token No | SM/21-22/1551 02/12/2021 | Serial | 005 |
| Patient Name | Mr. ABDUL RAHMAN | Contact No | 9403019283 |
| Address | 10 CHATTERJEE LANE | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||