Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04823 | Date 14/08/2023 |
| Token No | SM/22-23/11820 14/08/2023 | Serial | 028 |
| Patient Name | Mr. DIPAK DEBNATH | Contact No | 6290729064 |
| Address | B/84/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||