Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02918 | Date 17/10/2022 |
| Token No | SM/22-23/3538 17/10/2022 | Serial | 040 |
| Patient Name | Mr. PARIMAL DAS | Contact No | 9830506184 |
| Address | 2/32 SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 68 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||