Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04827 | Date 14/08/2023 |
| Token No | SM/22-23/11830 14/08/2023 | Serial | 038 |
| Patient Name | Mr. SEKH MONIRUL HAQUE | Contact No | 8597184179 |
| Address | 94/A MALLICKPARA LANE SERAMPORE M 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||