Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03163 | Date 16/11/2022 |
| Token No | SM/22-23/4477 16/11/2022 | Serial | 046 |
| Patient Name | Mr. TAPAN BHATTACHARJEE | Contact No | 7596923374 |
| Address | 190/2 RAJYADHARPUR GOVE COLONY SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||