Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09570 | Date 07/07/2023 |
| Token No | SM/22-23/10732 07/07/2023 | Serial | 012 |
| Patient Name | Mr. ALAMGIR MONDAL.. | Contact No | 9830859282 |
| Address | 24 AKC BHATTACHARYA STREET | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||