Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07495 | Date 03/11/2022 |
| Token No | SM/24-25/19932 27/11/2024 | Serial | 009 |
| Patient Name | Mr. ABUL MALLICK | Contact No | NOT GIVEN |
| Address | 49/A DR. NANILAL BHATTACHARJEE STREET | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||