Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12443 | Date 10/12/2024 |
| Token No | SM/24-25/20115 10/12/2024 | Serial | 001 |
| Patient Name | Mr. BIRENDRA CHOWDHURY | Contact No | 7003652119 |
| Address | 9/500 COCKRAIN ROAD | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||