Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09673 | Date 18/07/2023 |
| Token No | SM/22-23/10984 18/07/2023 | Serial | 018 |
| Patient Name | Mr. MD SAHEZAD | Contact No | 7439552768 |
| Address | BANERJEE PARA | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||