Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08489 | Date 30/12/2024 |
| Token No | SM/24-25/33478 30/12/2024 | Serial | 076 |
| Patient Name | Mr. ISRAELL MALLICK | Contact No | 9007530642 |
| Address | 31A MIAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||