Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04539 | Date 19/07/2023 |
| Token No | SM/22-23/10684 19/07/2023 | Serial | 021 |
| Patient Name | Mr. AVIJIT SAHA | Contact No | 9062377699 |
| Address | 30/7/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||