Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08977 | Date 04/05/2023 |
| Token No | SM/22-23/9405 04/05/2023 | Serial | 025 |
| Patient Name | Mr. SARTAZ ALI | Contact No | NOT GIVEN |
| Address | K C BHATTACHARJEE STREET | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||