Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02074 | Date 28/06/2022 |
| Token No | SM/22-23/1037 04/07/2022 | Serial | 004 |
| Patient Name | Mr. APURBA BANIK | Contact No | 9038415322 |
| Address | 47/1 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||