Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08417 | Date 19/12/2024 |
| Token No | SM/24-25/33090 21/12/2024 | Serial | 047 |
| Patient Name | Mr. BIJUL MALLICK | Contact No | |
| Address | 31/B MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||