Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03106 | Date 10/11/2022 |
| Token No | SM/22-23/4248 10/11/2022 | Serial | 021 |
| Patient Name | Mr. BISWAJIT DEY | Contact No | 8926777886 |
| Address | 30/13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 48 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||