Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11575 | Date 29/05/2024 |
| Token No | SM/24-25/16556 29/05/2024 | Serial | 023 |
| Patient Name | Mr. ANAL DEY | Contact No | 9836708270 |
| Address | 6 NOTUN BAGAN LANE, PACHU BAZAR | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||