Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06684 | Date 10/08/2022 |
| Token No | SM/22-23/4421 10/08/2022 | Serial | 006 |
| Patient Name | Mr. SK ANSUR ALI | Contact No | 7008956547 |
| Address | L M BHATTACHARJEE STREET | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||