Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09126 | Date 19/05/2023 |
| Token No | SM/22-23/9706 19/05/2023 | Serial | 028 |
| Patient Name | Mr. TANVIR ALAM | Contact No | 9674859201 |
| Address | A K C BHATTACHARJEE STREET | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||