Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02656 | Date 08/09/2022 |
| Token No | SM/22-23/2581 08/09/2022 | Serial | 003 |
| Patient Name | Mr. SK AJHERUDDIN | Contact No | 9007761682 |
| Address | 88/C MALLICKPARA LANE SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||