Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04157 | Date 10/05/2023 |
| Token No | SM/22-23/8710 10/05/2023 | Serial | 038 |
| Patient Name | Mr. FIROJ DAOSHA | Contact No | 9123638355 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 61 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||