Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08276 | Date 25/11/2024 |
| Token No | SM/24-25/31712 25/11/2024 | Serial | 010 |
| Patient Name | Mr. FAIZAN RAFIQUE | Contact No | 7439886933 |
| Address | 27 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||