Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04779 | Date 10/08/2023 |
| Token No | SM/22-23/11631 10/08/2023 | Serial | 021 |
| Patient Name | Mr. SAGNIK DEBNATH | Contact No | 6290971645 |
| Address | B/84/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||