Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02128 | Date 04/07/2022 |
| Token No | SM/22-23/1512 20/07/2022 | Serial | 049 |
| Patient Name | Mr. LOKNATH DAS | Contact No | 7605825761 |
| Address | 245/A 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||