Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04707 | Date 11/08/2021 |
| Token No | SM/24-25/20600 20/01/2025 | Serial | 001 |
| Patient Name | Mr. SUNIL KUMAR CHOWDHURY | Contact No | 7450075904 |
| Address | 62 RAY LAND ROAD | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||