Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05440 | Date 17/02/2022 |
| Token No | SM/24-25/20566 17/01/2025 | Serial | 016 |
| Patient Name | Mr. BHASKAR MAL | Contact No | 9007385642 |
| Address | 36 SUNNY PARA LANE, MALLICKPARA | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||