Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03009 | Date 31/10/2022 |
| Token No | SM/22-23/3892 31/10/2022 | Serial | 029 |
| Patient Name | Mr. BISU SAHA | Contact No | 9330585386 |
| Address | 1/21 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 47 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||