Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04563 | Date 21/07/2023 |
| Token No | SM/22-23/10770 21/07/2023 | Serial | 011 |
| Patient Name | Mr. AMIT CHAKRABORTY | Contact No | |
| Address | SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||