Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08559 | Date 16/01/2025 |
| Token No | SM/24-25/34204 16/01/2025 | Serial | 044 |
| Patient Name | Mr. HABU MALLICK | Contact No | 6291995714 |
| Address | 93 MALLICKPARA LANE SERAMPORE 712203 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||