Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05284 | Date 11/01/2022 |
| Token No | SM/22-23/3557 23/06/2022 | Serial | 004 |
| Patient Name | Mr. ABU TALEB KHAN. | Contact No | 7605876542 |
| Address | 19 K C BHATTACHARJEE STREET | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||