Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10876 | Date 05/12/2023 |
| Token No | SM/22-23/13557 05/12/2023 | Serial | 001 |
| Patient Name | Mr. SK SABIR | Contact No | 8420077625 |
| Address | A K C BHATTACHARJEE STREET | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||