Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08692 | Date 08/02/2025 |
| Token No | SM/24-25/35374 08/02/2025 | Serial | 011 |
| Patient Name | Mr. AAIJUL MALLICK | Contact No | 6290743635 |
| Address | 31 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||