Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04698 | Date 03/08/2023 |
| Token No | SM/22-23/11283 03/08/2023 | Serial | 024 |
| Patient Name | Mr. MD RAZZAK | Contact No | 6290238077 |
| Address | 89/C MALLICKPARA LANE SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||