Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06101 | Date 15/06/2022 |
| Token No | SM/24-25/18264 20/08/2024 | Serial | 007 |
| Patient Name | Mr. INJABUL SEKH | Contact No | 9433668740 |
| Address | SHIBTALA | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||