Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04468 | Date 10/07/2023 |
| Token No | SM/22-23/17153 03/01/2024 | Serial | 025 |
| Patient Name | Master AHID MOLLA | Contact No | 6290743635 |
| Address | 59/C MALLICKPARA LANE SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||