Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03055 | Date 16/09/2019 |
| Token No | SM/24-25/18019 08/08/2024 | Serial | 010 |
| Patient Name | Mr. SK ALIA RAHAMAN | Contact No | 8348523069 |
| Address | JOLKOL WORKER | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||