Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09671 | Date 30/07/2025 |
| Token No | SM/25-26/5771 04/08/2025 | Serial | 028 |
| Patient Name | Mr. SK NAJIRUDDIN | Contact No | 8420690351 |
| Address | 88/C MALLICKPARA LANE SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||