Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02215 | Date 13/07/2022 |
| Token No | SM/22-23/14623 19/10/2023 | Serial | 043 |
| Patient Name | Mr. DEBASISH BANIK | Contact No | 9804654295 |
| Address | D/158/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||