Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06101 | Date 27/01/2024 |
| Token No | SM/22-23/17792 27/01/2024 | Serial | 005 |
| Patient Name | Mr. SUBHAJIT BANIK | Contact No | 8697562137 |
| Address | 30/46 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||