Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04705 | Date 04/08/2023 |
| Token No | SM/22-23/11313 04/08/2023 | Serial | 008 |
| Patient Name | Mr. JHANTU SAHA | Contact No | 9330289768 |
| Address | 30/71 TARAPUKUR LANE SERAMPORE M 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||