Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06126 | Date 17/06/2022 |
| Token No | SM/22-23/14034 02/01/2024 | Serial | 001 |
| Patient Name | Mr. SK NAWAZ | Contact No | 9830741745 |
| Address | K C BHATTACHARJEE STREET | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||