Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02249 | Date 18/07/2022 |
| Token No | SM/25-26/587 10/04/2025 | Serial | 071 |
| Patient Name | Mr. SK RIYAJ | Contact No | 6290332836 |
| Address | 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||