Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00197 | Date 19/09/2019 |
| Token No | SM/22-23/19378 04/03/2024 | Serial | 033 |
| Patient Name | Mr. ROHIT SHARMA | Contact No | 9804247586 |
| Address | A/6/T TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||