Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09644 | Date 17/07/2023 |
| Token No | SM/22-23/10945 17/07/2023 | Serial | 028 |
| Patient Name | Mr. DEBASISH CHOWDHURY | Contact No | 9674346863 |
| Address | 29 CHATRA CHOWDHURY PARA BYE LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||