Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08257 | Date 06/02/2023 |
| Token No | SM/22-23/13459 30/11/2023 | Serial | 015 |
| Patient Name | Mr. SK MEHTAB | Contact No | 7450945824 |
| Address | TIN BAZAR BYE LANE | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||