Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04079 | Date 24/04/2023 |
| Token No | SM/22-23/8539 02/05/2023 | Serial | 023 |
| Patient Name | Mr. NURHOSSAIN MALLICK | Contact No | 9748396430 |
| Address | 17B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||