Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06104 | Date 27/01/2024 |
| Token No | SM/22-23/17804 27/01/2024 | Serial | 017 |
| Patient Name | Mr. SK LALTU | Contact No | |
| Address | 50/A MALLICKPARA LANE SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||