Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08425 | Date 21/12/2024 |
| Token No | SM/25-26/2346 21/05/2025 | Serial | 027 |
| Patient Name | Mr. MONO MALLICK | Contact No | 8584998086 |
| Address | 15 MALLICKPARA LANE SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||