Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06484 | Date 26/07/2022 |
| Token No | SM/22-23/4059 26/07/2022 | Serial | 009 |
| Patient Name | Mr. SEKH IBRAH AHAMMAD | Contact No | 8820394467 |
| Address | 26 K C BHATTACHARJEE STREET | Age | 24 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||