Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13458 | Date 03/09/2025 |
| Token No | SM/25-26/1866 03/09/2025 | Serial | 001 |
| Patient Name | Mr. ARSHAD KALIM. | Contact No | 8017943787 |
| Address | 10 CHATTERJEE LANE | Age | 34 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||