Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07117 | Date 25/06/2024 |
| Token No | SM/24-25/23673 25/06/2024 | Serial | 017 |
| Patient Name | Mr. KIBRIA BISWAS | Contact No | 8145340685 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||