Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05307 | Date 30/09/2023 |
| Token No | SM/22-23/13802 30/09/2023 | Serial | 022 |
| Patient Name | Mr. SK JAMIR HOSEN | Contact No | 8697246522 |
| Address | 74/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||