Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08640 | Date 24/03/2023 |
| Token No | SM/22-23/8529 24/03/2023 | Serial | 008 |
| Patient Name | Mr. MD SAHID | Contact No | 7439550466 |
| Address | 12 K M BHATTACHARYA STREET | Age | 83 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||