Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00261 | Date 27/09/2019 |
| Token No | SM/22-23/16439 13/12/2023 | Serial | 018 |
| Patient Name | Mr. ARKO DAS | Contact No | 9231681988 |
| Address | 30/34 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||