Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02596 | Date 01/09/2022 |
| Token No | SM/22-23/2399 01/09/2022 | Serial | 005 |
| Patient Name | Mr. PRABHAT NAYEK | Contact No | 9330034695 |
| Address | D/174/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||