Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09951 | Date 13/09/2025 |
| Token No | SM/25-26/7958 13/09/2025 | Serial | 028 |
| Patient Name | Mr. SK MOHARUDDIN | Contact No | 6289178296 |
| Address | 62/A MALLICKPARA LANE SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||