Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07756 | Date 27/08/2024 |
| Token No | SM/24-25/27247 27/08/2024 | Serial | 036 |
| Patient Name | Mr. SK SAKIL | Contact No | 6290884454 |
| Address | 88/C MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||