Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10078 | Date 22/08/2023 |
| Token No | SM/22-23/11827 22/08/2023 | Serial | 006 |
| Patient Name | Mr. RAJA CHOWDHURY | Contact No | 8420088424 |
| Address | 25/A NOTUN BAGAN | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||