Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06320 | Date 20/02/2024 |
| Token No | SM/25-26/3396 12/06/2025 | Serial | 014 |
| Patient Name | Mr. SK BABAR ALI | Contact No | 7439790271 |
| Address | 82 MALLICKPARA LANE SERAMPORE 712203 | Age | 90 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||