Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01759 | Date 30/05/2022 |
| Token No | SM/22-23/4048 04/11/2022 | Serial | 012 |
| Patient Name | Mr. KALISANKAR CHAKRABORTY | Contact No | 8902225940 |
| Address | 86X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||