Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09703 | Date 06/08/2025 |
| Token No | SM/25-26/5937 06/08/2025 | Serial | 055 |
| Patient Name | Mr. ABBAS MALLICK | Contact No | 8310051744 |
| Address | 24/A TARA PUKUR LANE SERAMPORE MALLICKPARA 712203 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||