Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01726 | Date 27/05/2022 |
| Token No | SM/22-23/188 27/05/2022 | Serial | 049 |
| Patient Name | Mr. ABHIJIT ROY | Contact No | 9933126474 |
| Address | 229 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||