Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04918 | Date 23/08/2023 |
| Token No | SM/22-23/12202 23/08/2023 | Serial | 007 |
| Patient Name | Mr. AHAMED HOSSAIN MOLLAH | Contact No | 9748905061 |
| Address | 14 MIA JAN DARJEE LANE SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||