Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08851 | Date 25/04/2023 |
| Token No | SM/22-23/9139 25/04/2023 | Serial | 012 |
| Patient Name | Mr. TAPAN KOIRI | Contact No | 9830789411 |
| Address | DEY GHAT LANE | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||