Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05523 | Date 30/10/2023 |
| Token No | SM/22-23/17222 05/01/2024 | Serial | 016 |
| Patient Name | Mr. KASHI SANTRA | Contact No | 7439125100 |
| Address | 133/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||