Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05628 | Date 09/11/2023 |
| Token No | SM/22-23/15418 10/11/2023 | Serial | 016 |
| Patient Name | Mr. BIRJU MALLICK | Contact No | 9007013260 |
| Address | 10/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||