Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02265 | Date 18/07/2022 |
| Token No | SM/22-23/1438 18/07/2022 | Serial | 061 |
| Patient Name | Mr. SUBHENDU SHEULY | Contact No | 8444988114 |
| Address | 9NO TARAPUKUR COLONY SERAMPORE 712203 | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||