Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03030 | Date 02/11/2022 |
| Token No | SM/22-23/3977 02/11/2022 | Serial | 028 |
| Patient Name | Mr. BACHHU RAY | Contact No | 6289233415 |
| Address | 12 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 48 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||