Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07426 | Date 28/10/2022 |
| Token No | SM/22-23/5855 28/10/2022 | Serial | 006 |
| Patient Name | Mr. SAIFUL SEKH | Contact No | 8001808354 |
| Address | 5 MALLICKPARA | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||