Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04853 | Date 17/08/2023 |
| Token No | SM/22-23/11963 17/08/2023 | Serial | 046 |
| Patient Name | Mr. SWAPAN CHAKRABORTY | Contact No | 8013557290 |
| Address | 191/37 MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||