Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07132 | Date 26/06/2024 |
| Token No | SM/24-25/23733 26/06/2024 | Serial | 009 |
| Patient Name | Mr. SK BADRUDDOJA | Contact No | 7439166253 |
| Address | 23 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||