Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05651 | Date 11/11/2023 |
| Token No | SM/22-23/15470 11/11/2023 | Serial | 020 |
| Patient Name | Mr. SK JUMMAN | Contact No | |
| Address | 18A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||