Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02458 | Date 13/08/2022 |
| Token No | SM/22-23/15925 29/11/2023 | Serial | 017 |
| Patient Name | Mr. SAIFUDDIN MALLICK | Contact No | 9239566248 |
| Address | 17C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||