Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06275 | Date 05/07/2022 |
| Token No | SM/22-23/6459 18/11/2022 | Serial | 030 |
| Patient Name | Mr. ARSHAD KALIM | Contact No | 8017943787 |
| Address | 10 CHATTERJEE LANE | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||