Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06990 | Date 08/09/2022 |
| Token No | SM/22-23/5000 08/09/2022 | Serial | 019 |
| Patient Name | Mr. SK SORABUDDIN | Contact No | 9883996756 |
| Address | 11 K.C. BHATTACHARYA LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||