Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02576 | Date 26/08/2022 |
| Token No | SM/22-23/4056 04/11/2022 | Serial | 020 |
| Patient Name | Mr. SUBASH CHANDRA GOSWAMI | Contact No | 9433390536 |
| Address | C/135/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||