Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05295 | Date 29/09/2023 |
| Token No | SM/22-23/13750 29/09/2023 | Serial | 047 |
| Patient Name | Mr. SANJAY JASHWARA | Contact No | 7595928898 |
| Address | 67/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||