Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03048 | Date 03/11/2022 |
| Token No | SM/22-23/4034 03/11/2022 | Serial | 048 |
| Patient Name | Mr. SISIR BISWAS | Contact No | 9748436143 |
| Address | MOLLABER COLONY DANKUNI | Age | 42 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||