Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07462 | Date 01/11/2022 |
| Token No | SM/22-23/5914 01/11/2022 | Serial | 006 |
| Patient Name | Mr. SUSANTA PAKHIRA | Contact No | NOT GIVEN |
| Address | CHOWDHURY PARA | Age | 50 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||