Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06278 | Date 13/02/2024 |
| Token No | SM/25-26/8429 24/09/2025 | Serial | 020 |
| Patient Name | Mr. ASIF KHAN | Contact No | 6289152045 |
| Address | 19 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||