Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06335 | Date 13/07/2022 |
| Token No | SM/24-25/17580 18/07/2024 | Serial | 022 |
| Patient Name | Mr. YUNIS KHAN | Contact No | 9433558920 |
| Address | K C BHATTACHARJEE STREET | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||