Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03682 | Date 31/01/2023 |
| Token No | SM/22-23/6418 31/01/2023 | Serial | 029 |
| Patient Name | Mr. KAJI HAKIM | Contact No | 8479932377 |
| Address | 83 MALLICKPARA LANE SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||