Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01745 | Date 30/05/2022 |
| Token No | SM/22-23/13757 29/09/2023 | Serial | 054 |
| Patient Name | Mr. GOUTAM DAS | Contact No | 8100899301 |
| Address | B/111/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||