Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02716 | Date 19/09/2022 |
| Token No | SM/22-23/3008 24/09/2022 | Serial | 017 |
| Patient Name | Mr. SUDHANGSHU MOHAN NANDY | Contact No | 9883207821 |
| Address | B/103/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||