Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01664 | Date 25/05/2022 |
| Token No | SM/22-23/104 25/05/2022 | Serial | 016 |
| Patient Name | Mr. SK SABIR | Contact No | 9432063846 |
| Address | 9 NO MALLICKPARA SERAMPORE 712203 | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||