Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03132 | Date 12/11/2022 |
| Token No | SM/22-23/4364 12/11/2022 | Serial | 020 |
| Patient Name | Mr. KARTICK PALIT | Contact No | 7872679802 |
| Address | 53X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||