Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09027 | Date 12/05/2023 |
| Token No | SM/22-23/9530 12/05/2023 | Serial | 018 |
| Patient Name | Mr. ABIR LAL CHOWDHURY | Contact No | 8712584900 |
| Address | 9 L B S ROAD | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||