Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06530 | Date 03/04/2024 |
| Token No | SM/24-25/20506 03/04/2024 | Serial | 058 |
| Patient Name | Mr. SK SIDDIK | Contact No | 9933412318 |
| Address | 23/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||