Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03008 | Date 31/10/2022 |
| Token No | SM/22-23/3891 31/10/2022 | Serial | 028 |
| Patient Name | Mr. AKHILESH ESAI | Contact No | 9830382941 |
| Address | A-35/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 34 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||