Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05764 | Date 30/11/2023 |
| Token No | SM/22-23/15988 30/11/2023 | Serial | 036 |
| Patient Name | Master MD FAIZAL | Contact No | 9038705392 |
| Address | 89/C MALLICKPARA LANE SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||