Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03087 | Date 09/11/2022 |
| Token No | SM/22-23/4171 09/11/2022 | Serial | 006 |
| Patient Name | Mr. SK TAUHID | Contact No | 8273049447 |
| Address | 35/A/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 15 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||