Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08564 | Date 16/03/2023 |
| Token No | SM/22-23/8333 16/03/2023 | Serial | 005 |
| Patient Name | Mr. ABDUL RASHID | Contact No | 6289992906 |
| Address | L M BHATTACHARJEE STREET | Age | 85 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||