Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03219 | Date 22/11/2022 |
| Token No | SM/22-23/4630 22/11/2022 | Serial | 020 |
| Patient Name | Mr. SK TANVIR | Contact No | 7278071331 |
| Address | 35/A/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 9 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||