Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12227 | Date 09/10/2024 |
| Token No | SM/24-25/19277 09/10/2024 | Serial | 004 |
| Patient Name | Mr. NAIMUDDIN MOLLA | Contact No | 8910123050 |
| Address | 18 A K C BHATTACHARJEE STREET | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||