Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07435 | Date 12/07/2024 |
| Token No | SM/24-25/25939 02/08/2024 | Serial | 032 |
| Patient Name | Mr. SK FARUK | Contact No | 7439998764 |
| Address | 23 MIAJAN DARJEE LANE MALLICKPARA SERAMPORE 71220 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||