Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05170 | Date 18/09/2023 |
| Token No | SM/22-23/13225 18/09/2023 | Serial | 017 |
| Patient Name | Mr. UJJAL CHATTERJEE | Contact No | 8777346605 |
| Address | 1/13 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||