Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05173 | Date 19/09/2023 |
| Token No | SM/22-23/13294 20/09/2023 | Serial | 012 |
| Patient Name | Mr. MIRAJ ANSARI | Contact No | 6290811373 |
| Address | MALLICKPARA SERAMPORE M 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||