Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08810 | Date 21/04/2023 |
| Token No | SM/22-23/14233 11/01/2024 | Serial | 009 |
| Patient Name | Mr. SK SALAMUDDIN | Contact No | 8088890639 |
| Address | THAKURBATI STREET | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||