Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10537 | Date 26/09/2023 |
| Token No | SM/22-23/12704 26/09/2023 | Serial | 020 |
| Patient Name | Mr. SK SABIR | Contact No | 9903265385 |
| Address | 19/A A K C BHATTACHARJEE STREET | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||