Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05028 | Date 01/09/2023 |
| Token No | SM/22-23/12584 01/09/2023 | Serial | 027 |
| Patient Name | Mr. MOHD BASIRUDDIN | Contact No | 8910923074 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||