Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09541 | Date 05/07/2023 |
| Token No | SM/22-23/10633 05/07/2023 | Serial | 008 |
| Patient Name | Mr. ARJUN CHOWDHURY | Contact No | 6290231954 |
| Address | 15 L B S ROAD | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||