Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12365 | Date 21/11/2024 |
| Token No | SM/24-25/19816 21/11/2024 | Serial | 011 |
| Patient Name | Mr. MD ALAMGIR KHAN | Contact No | 7890242094 |
| Address | 21 A K C BHATTACHARYA STREET | Age | 67 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||