Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04535 | Date 18/07/2023 |
| Token No | SM/22-23/10658 18/07/2023 | Serial | 043 |
| Patient Name | Mr. BASUDEV CHATTERJEE | Contact No | |
| Address | SERAMPORE | Age | 84 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||