Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03681 | Date 31/01/2023 |
| Token No | SM/22-23/6936 20/02/2023 | Serial | 013 |
| Patient Name | Mr. AJIJUR RAHAMAN SK | Contact No | 8981845907 |
| Address | 2 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||