Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01845 | Date 08/06/2022 |
| Token No | SM/22-23/1669 28/07/2022 | Serial | 021 |
| Patient Name | Mr. KAMAL NANDI | Contact No | 9933705704 |
| Address | C/121/Y C BLOCK TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 76 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||