Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08621 | Date 22/03/2023 |
| Token No | SM/22-23/13889 18/12/2023 | Serial | 040 |
| Patient Name | Mr. TILAK CHOWDHURY | Contact No | 9685478700 |
| Address | DHULIPARA | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||