Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03041 | Date 03/11/2022 |
| Token No | SM/22-23/4003 03/11/2022 | Serial | 017 |
| Patient Name | Mr. MOKTAR SK | Contact No | 8116631495 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||