Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05782 | Date 05/05/2022 |
| Token No | SM/22-23/2868 05/05/2022 | Serial | 007 |
| Patient Name | Mr. ASHOK CHOWDHURY | Contact No | 9674946110 |
| Address | 18 CHOWDHURY PARA LANE | Age | 78 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||