Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09870 | Date 02/09/2025 |
| Token No | SM/25-26/7316 02/09/2025 | Serial | 031 |
| Patient Name | Mr. MAIMUR HOSEN SARDAR | Contact No | 8481010750 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||