Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04638 | Date 27/07/2023 |
| Token No | SM/22-23/11058 27/07/2023 | Serial | 042 |
| Patient Name | Mr. BHOLA SHIULI | Contact No | |
| Address | 10/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||