Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11869 | Date 31/07/2024 |
| Token No | SM/24-25/17825 31/07/2024 | Serial | 002 |
| Patient Name | Mr. RAMA SHANKAR CHOWDHURY | Contact No | 9007776460 |
| Address | 62A RAY LAND ROAD | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||