Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01840 | Date 08/06/2022 |
| Token No | SM/22-23/1325 14/07/2022 | Serial | 025 |
| Patient Name | Mr. SUDHAMOY BHOWMICK | Contact No | 9830958858 |
| Address | 43/16/4 PRABASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||