Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00162 | Date 16/09/2019 |
| Token No | SM/22-23/12231 23/08/2023 | Serial | 036 |
| Patient Name | Mr. PURNENDU DAS | Contact No | 9748389396 |
| Address | 30/60A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||