Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05207 | Date 21/09/2023 |
| Token No | SM/22-23/13377 21/09/2023 | Serial | 061 |
| Patient Name | Mr. NABIN GHOSH | Contact No | 8013284660 |
| Address | 2/177RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||