Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05378 | Date 09/10/2023 |
| Token No | SM/22-23/14153 09/10/2023 | Serial | 073 |
| Patient Name | Mr. SK TASHIM | Contact No | 9123644895 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||