Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 03977 | Date 06/07/2020 |
| Token No | SM/24-25/16529 28/05/2024 | Serial | 017 |
| Patient Name | Mr. SK ISLAM | Contact No | 9878520025 |
| Address | 11 AKHRA BATI | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||