Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09155 | Date 22/04/2025 |
| Token No | SM/25-26/1013 22/04/2025 | Serial | 028 |
| Patient Name | Mr. SK MUJAFOR | Contact No | 8961406414 |
| Address | 89/A MALLICKPARA LANE SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||