Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02086 | Date 29/06/2022 |
| Token No | SM/22-23/1180 07/07/2022 | Serial | 002 |
| Patient Name | Mr. RAMEN KUMAR NANDY | Contact No | 7003967368 |
| Address | B/76/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||