Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11077 | Date 29/01/2024 |
| Token No | SM/22-23/14459 29/01/2024 | Serial | 028 |
| Patient Name | Mr. INDRANIL CHOWDHURY | Contact No | 7044744201 |
| Address | 109 KHATIRBAZAR LANE | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||