Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03996 | Date 30/03/2023 |
| Token No | SM/22-23/13599 27/09/2023 | Serial | 006 |
| Patient Name | Mr. ANARUL MALLICK | Contact No | 9062076504 |
| Address | 24 TARA PUKUR LANE SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||