Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02832 | Date 30/09/2022 |
| Token No | SM/22-23/3216 30/09/2022 | Serial | 033 |
| Patient Name | Mr. JAY SANKAR SINGH | Contact No | 6289096395 |
| Address | 162/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||