Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06277 | Date 05/07/2022 |
| Token No | SM/22-23/3740 05/07/2022 | Serial | 011 |
| Patient Name | Master NAMAN RAM | Contact No | NOT GIVEN |
| Address | CHOWDHURY PARA | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||