Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07940 | Date 23/09/2024 |
| Token No | SM/24-25/28636 23/09/2024 | Serial | 043 |
| Patient Name | Mr. MOFIZUL ISLAM | Contact No | 7044162465 |
| Address | 11 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||