Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07551 | Date 31/07/2024 |
| Token No | SM/24-25/26198 07/08/2024 | Serial | 073 |
| Patient Name | Mr. BINOD CHOWDHURY | Contact No | 9163188617 |
| Address | CHOTOBELU MAHISHYA PARA BELUMILKI 712223 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||