Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01552 | Date 02/05/2020 |
| Token No | SM/19-20/4048 02/05/2020 | Serial | 014 |
| Patient Name | Mr. SK ALAUDDIN | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||