Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01669 | Date 25/05/2022 |
| Token No | SM/22-23/109 25/05/2022 | Serial | 021 |
| Patient Name | Mr. KAMALUDDIN SK | Contact No | 7603047124 |
| Address | MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||