Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02657 | Date 08/09/2022 |
| Token No | SM/22-23/2582 08/09/2022 | Serial | 004 |
| Patient Name | Mr. ROHAN MOLLA | Contact No | 9007761682 |
| Address | 88/C MALLICKPARA LANE SERAMPORE 712203 | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||