Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05141 | Date 14/09/2023 |
| Token No | SM/22-23/13102 14/09/2023 | Serial | 010 |
| Patient Name | Mr. SHIBCHANDRA RAY | Contact No | 7044764496 |
| Address | TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||