Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09701 | Date 06/08/2025 |
| Token No | SM/25-26/6168 11/08/2025 | Serial | 033 |
| Patient Name | Mr. SAFIRUDDIN NASKAR | Contact No | 6290396336 |
| Address | 59 MALLICKPARA LANE SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||