Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07460 | Date 01/11/2022 |
| Token No | SM/22-23/5912 01/11/2022 | Serial | 004 |
| Patient Name | Mr. SHERAJUL SEKH | Contact No | 7356946782 |
| Address | 18 MALLICK PARA | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||