Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07987 | Date 05/10/2024 |
| Token No | SM/25-26/4804 16/07/2025 | Serial | 061 |
| Patient Name | Mr. SK SABIR ALI | Contact No | 9432063846 |
| Address | 9NO MALLICKPARA LANE SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||