Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06493 | Date 26/07/2022 |
| Token No | SM/22-23/4074 26/07/2022 | Serial | 024 |
| Patient Name | Mr. MONU CHOWDHURY | Contact No | 9830698966 |
| Address | POTUA PARA | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||