Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01831 | Date 06/06/2022 |
| Token No | SM/22-23/445 10/06/2022 | Serial | 005 |
| Patient Name | Mr. PRADIP DAS | Contact No | 8697141327 |
| Address | B/110/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||