Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05075 | Date 05/09/2023 |
| Token No | SM/22-23/16029 01/12/2023 | Serial | 029 |
| Patient Name | Mr. BISWAJIT BHOWMICK | Contact No | 8981116035 |
| Address | 17/B 2NO COLONY SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||