Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02992 | Date 28/10/2022 |
| Token No | SM/25-26/810 17/04/2025 | Serial | 044 |
| Patient Name | Mr. AMIRUL ISLAM | Contact No | 7044162465 |
| Address | 11 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||