Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02971 | Date 22/10/2022 |
| Token No | SM/22-23/3724 22/10/2022 | Serial | 003 |
| Patient Name | Mr. GOUTAM CHATTERJEE | Contact No | 9836588162 |
| Address | B/65/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||