Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00250 | Date 25/09/2019 |
| Token No | SM/24-25/28187 12/09/2024 | Serial | 065 |
| Patient Name | Mr. SK SAHIL | Contact No | 7439998764 |
| Address | 23/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||