Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10547 | Date 20/02/2026 |
| Token No | SM/25-26/15452 02/03/2026 | Serial | 028 |
| Patient Name | Mr. TAHAWAR QURASHI | Contact No | 9007785825 |
| Address | 88/E MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 54 Years,2 Months,30 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 123/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||