Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09185 | Date 26/05/2023 |
| Token No | SM/22-23/9839 26/05/2023 | Serial | 017 |
| Patient Name | Mr. AJAD KHAN | Contact No | 6290852589 |
| Address | 6 NO A.K C BHATTACHARJEE STREET | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||