Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02884 | Date 14/10/2022 |
| Token No | SM/22-23/3433 14/10/2022 | Serial | 002 |
| Patient Name | Mr. SHAMBHUNATH GHOSH | Contact No | 7439188176 |
| Address | 163 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 80 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||