Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07119 | Date 23/09/2022 |
| Token No | SM/22-23/5286 23/09/2022 | Serial | 008 |
| Patient Name | Mr. ARJUN CHOWDHURY | Contact No | 8583846954 |
| Address | 62 RAYLAND ROAD | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||