Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05284 | Date 29/09/2023 |
| Token No | SM/22-23/13817 30/09/2023 | Serial | 037 |
| Patient Name | Mr. KALIPADA CHOWDHURY | Contact No | 8478915324 |
| Address | 125 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 78 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||