Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06519 | Date 27/07/2022 |
| Token No | SM/22-23/4122 27/07/2022 | Serial | 024 |
| Patient Name | Mr. YUNUS KHAN | Contact No | 7008945678 |
| Address | A K C BHATTACHARJEE STREET | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||