Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12697 | Date 24/02/2025 |
| Token No | SM/24-25/21100 24/02/2025 | Serial | 020 |
| Patient Name | Mr. SK SAMIM ALI | Contact No | 8777045519 |
| Address | 9A K.C BHATTACHARYA STREET | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||