Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02372 | Date 01/08/2022 |
| Token No | SM/22-23/1771 01/08/2022 | Serial | 051 |
| Patient Name | Mr. TANMOY BANIK | Contact No | 8420305012 |
| Address | C/134/Y TARAPUKUR GOVT QUARTER SERAMPORE MALLICKPARA 712203 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||