Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12508 | Date 08/01/2025 |
| Token No | SM/24-25/20409 08/01/2025 | Serial | 001 |
| Patient Name | Mr. SIRAJUL SK | Contact No | 7356946782 |
| Address | MALLICKPARA | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||