Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07880 | Date 10/09/2024 |
| Token No | SM/24-25/27996 10/09/2024 | Serial | 012 |
| Patient Name | Mr. SEKH RAJAB ALI | Contact No | 9073361386 |
| Address | 88 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||