Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04787 | Date 23/08/2021 |
| Token No | SM/21-22/920 23/08/2021 | Serial | 015 |
| Patient Name | Mr. SUNIL CHOWDHURY | Contact No | 8013551655 |
| Address | 6/B CHOWDHURY PARA | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||