Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09515 | Date 30/06/2025 |
| Token No | SM/25-26/4155 30/06/2025 | Serial | 066 |
| Patient Name | Mr. HARUN SEKH | Contact No | 9995059356 |
| Address | HIJULI PURBA MUSLIMPARA BAGANCHRA 741404 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||