Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05811 | Date 08/12/2023 |
| Token No | SM/22-23/16247 08/12/2023 | Serial | 016 |
| Patient Name | Mr. SADEK SEKH | Contact No | 9126738529 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||