Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11950 | Date 12/08/2024 |
| Token No | SM/24-25/18133 12/08/2024 | Serial | 022 |
| Patient Name | Mr. ABUL MALLICK | Contact No | 9163732515 |
| Address | 49A DR. N.L. BHATTACHARYA STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||