Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05118 | Date 12/09/2023 |
| Token No | SM/22-23/12985 12/09/2023 | Serial | 009 |
| Patient Name | Mr. SWAPAN KUMAR SAHA | Contact No | 9836164779 |
| Address | 144-RAJYADHARPUR GOVT COLONY NERA TARAPUKUR GOVT QUARTER 712203 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||