Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12286 | Date 30/10/2024 |
| Token No | SM/24-25/19530 30/10/2024 | Serial | 023 |
| Patient Name | Mr. RAHAT HUSSAIN | Contact No | 9330019637 |
| Address | 59 BANERJEE PARA | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||