Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05670 | Date 17/11/2023 |
| Token No | SM/22-23/15568 17/11/2023 | Serial | 001 |
| Patient Name | Mr. RANJIT KUMAR PAL | Contact No | 9038964867 |
| Address | 2/C TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||