Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01856 | Date 09/06/2022 |
| Token No | SM/22-23/4634 22/11/2022 | Serial | 024 |
| Patient Name | Mr. SWAPAN MANNA | Contact No | 9874096524 |
| Address | 206/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||