Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04884 | Date 21/08/2023 |
| Token No | SM/22-23/12663 04/09/2023 | Serial | 013 |
| Patient Name | Mr. BABU KHAN | Contact No | 8697170269 |
| Address | 4 CHELE KHANA ROAD MALLIKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||