Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03796 | Date 17/02/2023 |
| Token No | SM/22-23/6917 17/02/2023 | Serial | 029 |
| Patient Name | Mr. NASIR SEKH | Contact No | 7439166253 |
| Address | 23 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||