Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05958 | Date 27/05/2022 |
| Token No | SM/22-23/15099 06/03/2024 | Serial | 041 |
| Patient Name | Mr. SK RAHEN ALI | Contact No | 9831958192 |
| Address | 30/A CHATRA MUSALMAN PARA BYE LANE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||