Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03083 | Date 09/11/2022 |
| Token No | SM/22-23/5094 08/12/2022 | Serial | 020 |
| Patient Name | Mr. SK GOLAM | Contact No | 8777473783 |
| Address | MIRPUR HOOGHLY 712250 | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||