Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08848 | Date 07/03/2025 |
| Token No | SM/24-25/36574 07/03/2025 | Serial | 035 |
| Patient Name | Master NOOR MOHAMMAD MALLICK | Contact No | 6290382251 |
| Address | 33 MIYAJAN DARJI LANE MALLICK SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||