Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03218 | Date 22/11/2022 |
| Token No | SM/22-23/4629 22/11/2022 | Serial | 019 |
| Patient Name | Mr. BISHWAJIT NANDY | Contact No | 8478987391 |
| Address | 50/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||