Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12226 | Date 09/10/2024 |
| Token No | SM/24-25/19275 09/10/2024 | Serial | 002 |
| Patient Name | Mr. MD NABIL MOLLA | Contact No | 9674025538 |
| Address | 18 BHATTACHARJEE STREET | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||