Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10170 | Date 28/08/2023 |
| Token No | SM/22-23/12034 28/08/2023 | Serial | 036 |
| Patient Name | Mr. SUNIL KUMAR CHOWDHURY | Contact No | 74500904 |
| Address | 62/ A ROY LAND ROAD | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||