Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04817 | Date 12/08/2023 |
| Token No | SM/22-23/11784 12/08/2023 | Serial | 035 |
| Patient Name | Mr. SAHID MALLICK | Contact No | 9830295109 |
| Address | 31 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||