Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09853 | Date 03/08/2023 |
| Token No | SM/22-23/12751 27/09/2023 | Serial | 021 |
| Patient Name | Mr. SRIRAM CHOWDHURY | Contact No | 9330753172 |
| Address | 62 RAILAND ROAD | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||