Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10171 | Date 28/08/2023 |
| Token No | SM/22-23/12035 28/08/2023 | Serial | 037 |
| Patient Name | Mr. BIBEK CHOWDHURY | Contact No | 9339335558 |
| Address | 62/A RAYGANJ ROAD | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||