Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12791 | Date 17/03/2025 |
| Token No | SM/24-25/21360 17/03/2025 | Serial | 033 |
| Patient Name | Mr. SONU CHOWDHURY | Contact No | 9123386498 |
| Address | 17 BARAL BAGAN | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||