Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02272 | Date 19/07/2022 |
| Token No | SM/22-23/2168 22/08/2022 | Serial | 022 |
| Patient Name | Mr. BIDYUT KUMAR DEY | Contact No | 9432130275 |
| Address | C/128/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 66 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||