Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11583 | Date 30/05/2024 |
| Token No | SM/24-25/16590 30/05/2024 | Serial | 011 |
| Patient Name | Mr. PRANAB CHOWDHURY | Contact No | 9874924561 |
| Address | 17A CHOWDHURY PARA LANE | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||