Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06629 | Date 25/04/2024 |
| Token No | SM/24-25/21157 25/04/2024 | Serial | 032 |
| Patient Name | Mr. HABIB MOLLA | Contact No | 8240469887 |
| Address | 18/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||