Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05789 | Date 04/12/2023 |
| Token No | SM/22-23/16142 04/12/2023 | Serial | 032 |
| Patient Name | Mr. ANOWAR HUSSAIN | Contact No | 8420689983 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||