Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06645 | Date 05/08/2022 |
| Token No | SM/22-23/4369 05/08/2022 | Serial | 018 |
| Patient Name | Mr. RABI HELA.. | Contact No | 9088671993 |
| Address | 79 DEY STREET | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||