Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01631 | Date 23/05/2022 |
| Token No | SM/22-23/3822 28/10/2022 | Serial | 042 |
| Patient Name | Master ATRABUL HAQUE | Contact No | 7282910051 |
| Address | MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YEAR 3 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||