Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04486 | Date 12/07/2023 |
| Token No | SM/22-23/10424 12/07/2023 | Serial | 004 |
| Patient Name | Master JIHAN MALLICK | Contact No | 8335956547 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||