Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02665 | Date 09/09/2022 |
| Token No | SM/22-23/12259 24/08/2023 | Serial | 014 |
| Patient Name | Mr. AYAN DHAM | Contact No | 7688020247 |
| Address | D/149/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||