Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09103 | Date 18/05/2023 |
| Token No | SM/22-23/9657 18/05/2023 | Serial | 017 |
| Patient Name | Mr. PIR ALAM | Contact No | 9678458120 |
| Address | RAI GHAT | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||