Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03183 | Date 25/01/2019 |
| Token No | SM/19-20/16519 10/01/2020 | Serial | 044 Last Visit: 18/10/2025 |
| Patient Name | Mr. MUSA MALLIK | Contact No | 7044575749 |
| Address | 5/A/1 CHATRA MUSALMAN PARA, SERAMPORE | Age | 51 Years,7 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||