Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06786 | Date 22/08/2022 |
| Token No | SM/22-23/4622 22/08/2022 | Serial | 010 |
| Patient Name | Master SUBHAM CHOWDHURY | Contact No | 8777681757 |
| Address | 7 DEY GHAT LANE | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||